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I agree to provide Mercy Health with my Bank and Account information and hereby authorize Mercy Health 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, Mercy Health 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.



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