Make a SpecialtyRx Payment

If you experience problems submitting a payment, please contact the Bayshore Finance Department at 1-877-204-1932.

On this page you can make a payment on your account by charging it to your MasterCard or Visa credit card. You can either pay specific invoices or a dollar amount on your account

An on screen payment receipt will be provided, if you wish a receipt via email please provide an email address which you authorize to be used for communication with you.

Sample Invoice

Your Information used in case we need to contact you about this payment

* indicates a required field

Name *

Address *

Suite/Apt

City *

Province *

Postal Code *

Phone Number *

Email
By providing your email address you authorize Bayshore to communicate with you via that email and to send you an emailed receipt.

Client/Patient Information used to identify the individual to whom Bayshore is providing care

Name

Your Payment used to authorize the charge to the credit card

Bayshore Account # (Customer ID)*

Invoice #

Invoice Amount

Additional Invoice #

Additional Invoice Amount

Total Payment

Notes

Card Number*

CVV*

Expiry*

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