Lorma, Inc
Lorma Medical Center

Online Payment Service

For Lorma Colleges, click here.

online billpay provided by paypal Lorma Medical Center’s online payment service utilizes PayPal’s debit card/credit card processing system. A PayPal account is not required to process your payment. PayPal accepts all major credit/debit cards. For more information, please visit www.paypal.com.

When you make a payment using PayPal, your debit card/credit card information will not be stored by or provided to Lorma Medical Center. All credit card processing is handled through PayPal. By entering your email address, a copy of your receipt will be delivered to you directly. We encourage you to print and save this receipt for your records. If you encounter any payment problems you will need to provide the Transaction ID in order for us to assist you.

How it Works

Fill-out the required basic information using the online form below. We will send you an email invoice with a link to complete your online payment.

Note: Your bill is converted from Philippine Peso currency to US Dollars using current foreign exchange rates.

If you have any questions regarding Online Payment, please contact the Lorma Medical Center Billing Office from 8am-6pm (Philippine Time +8 GMT)

For Online Payment questions:
In the Philippines: (+63) (72) 700-0000 local extension 126

For Lorma Colleges and Lorma Basic Education please use this form instead.

Request for Invoice Form
Your Name:
Your Email:
Patient Name:
Patient Account Number (Admission Number):
I would like to pay for: (Choose one or more) 
   Entire Bill
   Hospital Room Charge
   Doctor’s Fee
   Pharmacy/Medicine
   Laboratory Fee
   Diagnostic Services
Notes:  
 


For Direct Payment Form

Make sure to complete all necessary information. You will be redirected to a Paypal page to confirm the payment.


Direct Payment Form
Students ID/Name or Patient Fullname:
Pay for:
I would like to pay for:
(Choose one or more)





Currency:
Amount: