Patient Financial Services

Patient Financial Services

If you feel that you are unable to pay your balance, you may be eligible for our Financial Assistance program.  The forms below define our financial assistance policy and guidelines.  A request form is also included on this page.  If you have questions or require assistance with the request form, please call our Business Office at 910-590-8751. 

Charity Care Policy

Financial Assistance Request
This document is Exhibit 1, referenced in the above Charity Care Policy

Charity Care Guidelines
This document is Exhibit 2, referenced in the above Charity Care Policy