Your Details - Temple Street Children's University Hospital

Online Bill Payment - Your Details

Please note: our payment system does not work with "Private Browsing" or "Incognito" mode enabled. If you experience errors please check that private browsing is disabled.

Fields with * are required.

Treatment details

Patient First Name*

Patient Surname*

Patient ID Number*

Amount*: (€)

Please enter amount in Euros only. For example: enter 100.00 to pay €100.00, 55.55 to pay €55.55 etc

Invoice Number*

Cardholder details

Billing mobile phone*

Country code

Local number

Type

Billing email*

Billing address line 1*

Billing address line 2*

Billing address line 3*

Billing city/town*

Billing postal code*

Billing state*

Billing country*

Please note: You will receive an acknowledgement of payment.
If you wish to receive a postal receipt please tick the box below.

Refunds will be processed 14-30 days after receiving notification and authorisation.
Full refund will be processed as no service charges are applied to your transactions.

I want to receive a postal receipt