Family Health Services of Erie County Secondary Payment Portal
* Originator:
Capital Campaign
Food is Medicine Program
General Donation
Golf Classic
Other
Witches Walk
The originator is required.
The originator may not contain a credit card number.
* Name:
The name is required.
The name may not contain a credit card number.
* Email Address:
The email address is required.
The email address may not contain a credit card number.
* Phone Number:
The phone number is required.
The phone number may not contain a credit card number.
Notes:
The notes is required.
The notes may not contain a credit card number.
* Amount:
The amount is required.
The amount is not valid.
The amount may not contain a credit card number.
Technical Support
If you need technical support for this online payment processing application, please send an email to
Fhs.it@familyhs.org
.