Charlotte Hungerford Hospital


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On-line Payments

Credit Card Form

The Charlotte Hungerford Hospital offers several convenient ways to pay your medical bills.

In Person Billing Department
First floor, Hospital's main building
Monday through Friday, 8:00 a.m. to 4:00 p.m.

By Telephone Call 860-482-1830 or toll free (CT only) 1-800-525-3144

By Mail Billing Department
The Charlotte HUngerford Hospital
540 Litchfield Street
Torrington, CT 06790

Online Fill out the form below and hit submit. Your secure payment information will be processed during the next business day and a receipt will be mailed to you.

If you are in need of financial assistance, you may call a CHH Financial Counselor at 860-496-6384.

Financial Assistance and Billing Services

	Required Fields in Blue
Name:
Address:
Address Change?:	Check if address is new or changed
Phone Number:
eMail:
CHH Account Number:
CHH Service Dates:
Credit Card Type:
Credit Card Number:
Card Security Number:
(3 digit code on back. On the front for American Express card holders)
Expiration Date: (mm/yy)	Month Year
Amount to be Paid:
Comments: