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Hosted payment forms, or pages, are “hosted” on external, third-party sites for the purpose of processing electronic payments. BluePay’s hosted payment pages are more than just quick and efficient. Our hosted e-commerce solutions provide the highest level of data security and reduce merchant liability.

  • Pick the form that works best for you — use one of our forms or design your own

  • We’ll work with BluePay to generate the payment form URL

  • Embed or add the URL on your site with a button or hyperlink

  • Patients visit the payment form on BluePay’s secure server

  • We collect information and process your payments

  • You’ll receive payment confirmation and other information

  • You get paid without having staff answer the phones or opening the mail to process a payment


BluePay’s award-winning, in-house IT department improves your security and that of your customers. We are the proud recipient of both the American Business Awards℠ 2016 Silver Stevie® Award in the Information Technology Team of the Year category, and the MasterCard Data Integrity Compliance Program Award in both 2014 and 2015.


BluePay is constantly developing new technology to help you reduce fraud, protect your business, and lower your PCI scope and costs. Our Security Solutions Suite helps you achieve that. Available on the BluePay Gateway, this comprehensive offering of payment security features includes the hosted payment form (HPF) and SRED (Secure Reading and Exchange of Data) device integration, along with the most recent addition of CAPTCHA and Protected Transaction Keypad (PTK). By implementing these security measures, you maintain a safe payment environment for your customers and give them peace of mind knowing their sensitive payment information is being protected.

Here are your two choices for building forms:

  1. Use a template
    Ready-to-Use Forms

  2. Design your own
    Create Hosted Payment Form


Both of these options are hosted in BluePay’s secure payment environment according to the process outlined above.

Payment Pros will assist in the entire process of setting up your payment form including working with BluePay's integration and support teams.  All you do is supply your logo and decide which form you like best.  Contact us below for samples of our current payment forms that are being used by practices today.

Contact Us

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