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Online Payment Forms
Burch Dental

Pay online using a credit or debit card. Have your statement available to reference your chart number (found in the upper right hand corner below due date) and then it is important to click on the button where services were provided. For any questions about your bill, please contact our office.

Loves Park
Forest Hills Rd.

Complete online payment for our Loves Park Location here.

Complete online payment for our Rockford, Palo Verde Location here.

Complete online payment for our Rockford, North Main Location here.