On this page below is a list of LOCAL forms that can be completed online and then printed. The form you need may be in this list.The date and reason for the bill; The name of the doctor or hospital; The amount of the bill. We've made all the necessary forms available for download on our website. We encourage you to review the forms carefully and fill them out completely. Our Medical Financial Assistance program provides temporary financial assistance to help qualified patients pay for health care based on their financial need.