Request School Payment Plan

Bell Healthcare Training School offers school-managed payment plans for eligible students. Complete the form below to request review. Payment plans are not automatic and must be approved by the school.

Section 1: Student Information

First name

Last name

Phone

Section 2: Enrollment Information

Program?

Class start date

Student ID (NA if unknown)

Section 3: Payment Plan Review Information

Short answer

Are You Prepared to Make the Required First Payment Upon Approval?

Preferred Payment Method for Approved Plan Drafts

Section 4: Payer Information

Will the Payer Be the Student?

Yes

Section 5: Additional Notes

Questions or Notes

Section 6: Required Acknowledgements

I understand this is a request only and is not automatically approved.

I understand my seat is not fully confirmed until my payment plan is approved and the required first payment is successfully processed.

I understand missed, declined, or failed payments may result in financial hold, delayed start, or inability to continue in the program.

. I understand Bell Healthcare Training School may require additional information before approving a payment plan.

By submitting this form, you are requesting review for a school-managed payment plan.

Next NA Class Starts June 1, 2026