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HOSPITAL FINANCIAL ASSISTANCE APPLICATION COVER LETTER Northwest Community Hospital (NCH) and Day Surgery Center II (DSV) offer a variety of financial assistance programs to meet the needs of our.

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ing to the Georgia Fair Business Practices Act [O.C.G.A. Section 10-1-393(b)(14)], a hospital or long-term care facility has six business days after you have been released from its care as an inpatient to provide you an itemized statement of all charges for which you are being billed.

Fill out the Atlanta Legal Aid online intake application or call 404-524-5811 (main line), 404-389-9992 (Georgia Senior Legal Aid if you are over 55 years old), to see if you qualify for legal assistance. If you live in any other Georgia county, contact the Georgia Legal Services Program for help.

ICTF is a Georgia program that pays many hospitals to provide healthcare for free or on a sliding scale to people with low incomes. Hospitals that participate must provide financial assistance to low-income patients. Ask your hospital about ICTF.

Contacting or visiting one of Northside's Financial Counseling Offices between the hours of 9:00 a.m. and 4:00 p.m., Monday through Friday: Atlanta Financial Counseling Office – 404-851-8589, located at 1000 Johnson Ferry Road, Atlanta, Georgia 30342.

More than 100 free and charitable clinics and hundreds of physicians, nurses, and other medical personnel in Georgia provide $236 million in uncompensated care every year.

Your bills might be turned over to a collection agency. And you might get sued. But if you can't afford your medical debt, you may have some options that can really help, like charity care, financial counseling, and payment plans.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232