Apply · ClaruPay

Step 1 of 5

About your business

Business legal name *

DBA name (if different)

Business type *

Years in business *

State of incorporation *

Business website

Business phone *

Takes about 60 seconds

Step 2 of 5

Your clinic

Clinic type *

Monthly processing volume *

Average transaction size *

Do you offer subscription / membership billing?

Yes, recurring No, one-time only A mix of both

Current processor

Reason for switching

Step 3 of 5

Owner information

Required for KYC verification under federal banking regulations. We need this for any individual owning 25%+ of the business.

First name *

Last name *

Title *

Ownership %

Date of birth

SSN (last 4 only)Full SSN collected later via secure portal

Home address

Step 4 of 5

Banking

Bank name *

Voided check or bank letter

Click to upload or drag and drop
PDF, PNG, JPG up to 10MB

256-bit encryption end-to-end. Your information is never sold. PCI DSS Level 1 compliant.

Step 5 of 5

Review & submit

Application received.

Your dedicated underwriter will review your application within 48 hours. We'll email you at the address on file with next steps and any additional documents needed.

Reference: PP-2026-00000

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