Need a form to place on our website for patients to pay their bill

i need a form to place on our website for patients (medical services)to pay their bill. We already have a portal they can pay from but for those who don't want to sign up for the portal we want another payment platform for the  website. Do you have any form templates for this?

thanks.

I understand that you want to create a form to let your users to pay the bills. You may create forms to receive payments by integrating one of the payment gateways. You may create any type of form viz., contact forms, surveys, application forms, order forms, sign-up forms, RSVP, etc using JotForm by using its intuitive drag and drop method in the form builder. 

You may check our form templates that are shared by our users and clone it to your account to make necessary changes as per your requirement. 

Since you have mentioned that you want to use the form for medical services, please note that JotForm is also now HIPAA compliant. Please see the web page below:

https://www.jotform.com/hipaa/

Please give it a try and let us know if you need any further assistance. We will be happy to help.