Financial Assistance

We are committed to excellence in providing quality mental health care while serving the needs of those living in our area. Financial Assistance may be available to patients receiving non-elective (emergent) hospital services who are not covered by any form of insurance or government program. Verification of income and financial information is required.

• Plain Language Summary of Financial Assistance
• Resumen Simple Poliza de Asistencia Financiera

• Financial Assistance Policy (FAP)
• Poliza de Asistencia Financiera (FAP)

Documents

• Financial Elegibility Application
• Formulario de Elegibidad Solicitud
• Federak Poverty Guidelines
• Fee Discount Appeal Letter