Online Bill Payment Form Template

Share this online bill payment with your patients to improve your medical services, optimize your internal processes and digitize your healthcare business. Need to start? Create an account in our form builder and customize this template as you see fit.

Customize template

Online bill pay is the only way to go these days. Enable secure online payments with our online bill payment template. Customize the template to meet your needs for different types of bills to be paid using single- or multiple-choice fields and even image upload, all without writing code. Create payment forms for individuals or companies and include fields for buyer information, delivery address, bill number, buyer code, billing amount, and much more. No matter what type of bills you need to manage, our online bill payment template can help you get started. It’s completely secure and supports multiple payment methods and gateways.

Publish template

Make it super convenient for customers to fill out your form and pay their bills online. Firstly, generate a custom payment link. Then, send it to customers by email or social media. Or simply copy and paste the form code to embed it into your web page. Best of all, mobile-friendly online bill pay forms let people easily pay invoices on the go.

Collect & manage data

Keeping payment data secure is paramount for any business. That’s why we make it easy to collect and manage payment data securely with our online bill pay form. Also, you can review payments in an online dashboard and export payment data to Excel, CSV, or PDF. Or synchronize data with other applications for easy and accurate tracking and management. You control how you manage your data.

Optimize processes

A seamless payment workflow is of the essence when collecting online payments from customers. Optimize your workflow with digital bill pay forms that accept secure payments and enable instant notifications by email or SMS so you can easily track payments submitted on time or after the due date.