Online Payment

Welcome to our secure online payment service.

To make a secure payment to the Palace Gate Practice please enter the details below.

Please enter your account code and payment value:

Account Number: For example, ABCD0001
Payment £:

Please enter payment details:

Card Type:
Holder Name:
Expiry: / 
CV2 Code: (The last three digits from the back of you card)

If you would like us to send you a receipt, please tick this box and enter your email address below. By doing so, you consent to being contacted by us at this address. The address is not retained and we will not use it for any other purpose:

Email Address: