Advance Payment For Hospital Care Online Payment Form

July 2025

Our payment website is currently down for maintenance, so we are unable to take payment by this method.

You can pay via alternative methods detailed below.

By card

Pay by card over the telephone by calling 0117 342 0947 between 9am and 3.45pm.

By BACS

Sort code: 56-00-05

Account number: 00877697

Account name: Uni.Hosp Bristol NHS FT

Please complete all of the fields below

Patient title

Patient first name

Patient surname

Hospital number

Telephone number

Email address

I consent to having my information stored for the purpose of this online payment form. I know you may need to contact me with information in relation to my form. I understand that if I don't consent I cannot submit online.