Please complete the following information. When you are finished, click Submit to enter your payment. We accept MASTERCARD, VISA, DISCOVER & AMERICAN EXPRESS cards.
Please complete the following information. When you are finished, click Submit to enter your payment.
Select your Card Type
First Name
Last Name
Card Number
Exp. Date
Cardholder Address
City, State ZIP
Amount of Payment
Hospital Account #
Patient Name
Date of Service
Thank You for your payment and for Choosing Catawba Valley Medical Center for your Health Care Needs.
