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Ask a nonprofit hospital for financial assistance

A letter asking the hospital for its financial assistance policy and application, and to hold collection while your application is pending. It cites the federal rules for nonprofit hospitals and says nothing about whether you qualify.

State this is about

Your full name

Your mailing address

The hospital's name, as it appears on the bill

The billing office's mailing address, from the bill

The account number on the bill

Is the hospital a nonprofit?

The date on the FIRST bill they sent after your care

Have you been served with a lawsuit about this bill? (optional)

This is general information, not legal, tax, or financial advice, and it doesn't create a professional relationship.