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Get Financial Assistance Letter For Hospital Bill 2010-2024

D documentation listed below. NOTE: Financial assistance will not be considered without income proof and the completed application signed. Provide all income verification listed below that applies to your Family Unit (applicant/patient, spouse/significant other and legal dependents). 1. Check stubs or statement from your employer indicating the last three (3) months gross income. 2. If self-employed, please provide a copy of your last quarter's Business Financial Statement along with the previou.

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