ROCHESTER URGENT CARE, PC
215 EAST AUBURN ROAD
ROCHESTER HILLS, MI 48307
(248) 853-2009

Order Info
Thank you for Choosing My Health Urgent Care!
Account Information
* Indicates a Required Field
Payment Amount  *
Card Number  *
CVV2  *
Expiration Date  *
/
Zip  *

Billing Information
Contact Name *
Address  *
Address 2
City  *
State  *
Zip  *
Cell Phone #
Telephone #
Email
Patients Name *

Date of Birth *

Account Number



Error Advice


Transaction: For your protection, this website is secured with the highest level of SSL Certificate encryption.