Financial Assistance
Your ability to pay should never stop you from seeking needed care
When you come to us for treatment, our patient financial services team and financial assistance program are available to help you pay for your care.
Please contact us at (888) 311-1283 if you cannot pay part of your bill.
If you can, please ask for financial assistance before you get care. You can also ask during or after your care. You can apply for financial assistance for services up to 240 days after the first billing statement for those services or 12 months after you have paid for them.
You may qualify if you:
- Receive medically necessary care or emergency care.
- Live in our service area, except for emergency care.
- Meet income limits.
- Go through screening for any medical assistance resources you may qualify for.
If you qualify, we will give you free or discounted care for up to twelve months. You can apply again if you need more care.
Download the financial assistance policy.
How to apply for Financial Assistance
Here are instructions and a form to fill out for financial assistance:
- Instructions And Form For Applying For Financial Assistance
- Instrucciones para completar la solicitud (spanish)
- Инструкции по заполнению заявки (Russian)
- 申请表填写说明 (Chinese)
- Hướng dẫn điền đơn đăng ký (Vietnamese)
- يونملكقفعطصدختةبائ†ت (Arabic)
You may also start an application online by going here.
If you need help or have questions please (503) 494-8551. We are open Monday through Friday 9:00a.m. until 4:30 p.m.
The Oregon Health Authority also has information online about health insurance for low-income Oregonians. If you need assistance with applying to Medicaid our Medicaid Specialist team can help. Please call (503) 251-6807.
Download the Financial Assistance Program physicians listing.
Financial Assistance Policy - Plain Language Summary
- FINANCIAL ASSISTANCE POLICY – PLAIN LANGUAGE SUMMARY
- POLÍTICA DE ASISTENCIA FINANCIERA: RESUMEN EN LENGUAJE SENCILLO (spanish)
- ПОЛИТИКА ФИНАНСОВОЙ ПОМОЩИ. Краткое и понятное описание (Russian)
- 经济援助政策 — 简明摘要 (Chinese)
- CHÍNH SÁCH HỖ TRỢ TÀI CHÍNH – TÓM TẮT RÕ RÀNG NGẮN GỌN (Vietnamese)
- سیاسة†المساعدة†المالیة†– ملخص†بلغة†واضحة (Arabic)
Appeal Information
If you are denied assistance after providing an application and verification documents, and you believe the determination does not accurately reflect your current situation, you may appeal. To request an appeal, please complete the form below saying why you feel the determination was not appropriate and include further information and clarification.
- Financial Assistance Appeal Request Form
- 经济援助上诉申请表 (Chinese)
- Форма запроса на апелляцию относительно получения финансовой помощи (Russian)
- 재정 지원 이의 신청 양식 (Korean)
- ﻧﻤﻮذج طﻠﺐ اﻟﻄﻌﻦ ﻋﻠﻰ ﻗﺮار ﺑﺸﺄن اﻟﻤﺴﺎﻋﺪة اﻟﻤﺎﻟﯿﺔ (Arabic)
- Formulario de solicitud de ayuda económica (Spanish)
- Mẫu đơn yêu cầu kháng cáo về hỗ trợ tài chính (Vietnamese)