Everyone deserves access to an affordable payment plan

If your business provider doesn’t offer CareCap please fill out our form.

If your provider doesn’t already offer CareCap, we will help them set up a payment plan. Please complete our “Refer A Business” form to help them get started.

The benefits of referring a business

CareCap manages the payment plan between you and the business.

  • There is no credit check required for a CareCap plan.
  • You define terms and set up payments that fit your budget.
  • You get simple automated payments from your bank or card.
  • CareCap offers an affordable 1% monthly management fee.
  • With CareCap there is no penalty for early pay-off

Information about you:


Name
Email
Phone Number
Description of service you would like to put on a payment plan


Information about your provider: