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You may enter additional account numbers and amounts if paying more than one account.
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Payment Terms Agreement
I agree to provide St. Rita's Medical Center with my Bank and Account information and hereby authorize St. Rita's Medical Center to debit my bank account for this transaction. I understand that when I authorize a payment to be made through this website, I am requesting an electronic transfer from my bank account. When making such a pre-authorized payment, St. Rita's Medical Center will make electronic transfers via the Automated Clearing House (ACH) system from my bank account in the amount I specify.

Cancellation If you made an ACH Debit transaction and wish to revoke or cancel this transaction you must call us at the number listed in the Contact Us section of this website.



Your transaction receipt will be sent to the email address provided.




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