The Ohio State University Student Life Student Health Services

If you are attempting to pay a Student Health Services statement dated prior to July 17, 2015,
please call 614-292-0113.

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Account Details (This information appears on your statement.) Statement Date

Patient ID

Amount Due $

Payment Amount $
Addressee Name

Credit / Debit Card Information Pay Amount $
Card Type
Name on Card
Card Number

1111222233334444

Expiration Date

Verification Code

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