Multicare Financial Aid Form. Web online scheduling now at multicare. Sources of income include, for example:
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Start by filling out this application. You must include proof of income with your application. Apply for financial assistance with multicare yakima memorial. With multiple locations across washington state, we’re here for you when — and where — you need us. Plus, we make it easy for you to connect with the care you need with convenient appointment scheduling options for both new and existing patients. If you qualify, you may then apply for financial assistance. If you cannot pay your bill, we may be able to help you with our financial assistance plans. Web online scheduling now at multicare. Your signed, completed form can then be sent to us via: Our financial assistance application and proof of income instruction sheet are available to download in several languages:
Plus, we make it easy for you to connect with the care you need with convenient appointment scheduling options for both new and existing patients. Web to find out if you qualify for financial assistance, please review the guidelines below. With multiple locations across washington state, we’re here for you when — and where — you need us. Apply for financial assistance with multicare yakima memorial. Request for restriction of personal health information. You must provide information on your family’s income. You must include proof of income with your application. Web patients may apply for financial assistance by submitting a financial assistance application with income information. Multicare uses the federal poverty guidelines to help determine what financial assistance program best fits your needs. Our financial assistance application and proof of income instruction sheet are available to download in several languages: Please submit completed financial assistance application forms using.
