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Financial Assistance Program (FAP) & Application

Thank you for expressing an interest in our Financial Assistance Program. Depending on your family income, you may be eligible for a discount up to 100% of the amount owed on your hospital bill. Click on the button below for more information.

Thank you for expressing an interest in our Financial Assistance Program. Depending on your family income, you may be eligible for a discount up to 100% of the amount owed on your medical group bill. Click on the button below for more information.

Additional Documents.

In order for us to determine if you qualify for a discount, or to determine a monthly payment plan if you do not qualify for a full discount, please complete the appropriate Application for Assistance and provide the requested information. Click on the button below to download a PDF of the FAP Application.