Payments | Mid-West Podiatry & Associates

Welcome to the Mid-West Podiatry & Associates Patient Payment Portal

Please complete all the information requested for a single payment or set up a payment plan.

First Name

Please enter your first name.

Last Name

Please enter your last name.

Email Address

Please enter a valid email address.

Account Number

Please enter your account number.

Birthday

Please enter your birthday.

Phone Number

Please enter your phone number.

Yes I do!

No thanks, just a one-time payment please.

A minimum payment of $40 is required and for no more than 12 months or 26 weeks.

Monthly

Bi-weekly

Payment Date

Please enter a payment date.

Account Balance

Please enter your account balance.

# of Payments

Please enter a valid number of payments.

Payment Amount

Payment amount required.

Payment Amount

Payment amount required.