top of page
(616) 805-3660
Schedule an Appointment
Home
About
Locations
Patients
Find a Provider
Schedule an Appointment
Cost for Services
Make A Payment
Contact Us
Providers
Find a Provider
Become a CCWM Provider
Internship Opportunities
Log In
Make a Payment
To make a secure payment using your credit/debit card, please fill out the fields below. Patients may also make a payment via the
TherapyPortal
, in person at any CCWM location, or by contacting our office.
IMPORTANT: We cannot accept HSA cards online. Please call our office to make a payment with your HSA card.
Patient First Name
*
Patient Last Name
*
Patient Date of Birth
*
Month
Day
Year
Cardholder Email Address
*
Enter Payment Amount
*
$
Make a Payment
bottom of page
