Credit Card Payments

Use this form to complete credit card payments for services provided by CommonHealth ACTION.

Payment Information

Provide a short description of the services for which you are paying.
Click or drag files to this area to upload. You can upload up to 4 files.
Upload all the invoice(s) (up to 4 files) for which you are submitting payment to CommonHealth ACTION here.
Enter the total amount for invoice(s) being paid in this transaction here.