Patient Billing

At Ascension Borgess Allegan Hospital, you can pay your bill using our online payment form. In order to protect the privacy and security of your credit card information before submitting it online, please be sure you are sending your billing information to the correct hospital. This form will be submitted to Ascension Borgess Allegan Hospital, located in Allegan, Michigan.   



Online Payment Form


*  
*  
*  
*  
*  
*  
*  
*  
*  
*  
*  

Patient Information

*  
*  
*  
*  
*  
*  
*