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.

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Patient Information

Please enter your first name.
Please enter your last name.
Please enter a valid email address.
Please enter your account number.
Please enter your birthday.
Please enter your phone number.

Do you want to set up a payment plan?

Please enter a payment date.
Please enter your account balance.
Please enter a valid number of payments.
Note: Number of payments cannot exceed 12
Payment amount required.
Payment amount required.