Patient Financial Assistance Program Documents
Program Policy
Plain Language Summary
Program Application
Amounts Generally Billed
The following documents related to our policy and eligibility have been translated into many languages for your convenience.
Language | Policy | Plain Language Summary |
Application | Amounts Generally Billed |
---|---|---|---|---|
English | View | View | View | View |
Arabic | View | View | View | View |
Armenian | View | View | View | View |
Chinese (Simplified) | View | View | View | View |
Chinese (Traditional) | View | View | View | View |
Czech | View | View | View | View |
Farsi | View | View | View | View |
French | View | View | View | View |
German | View | View | View | View |
Greek | View | View | View | View |
Gujarati | View | View | View | View |
Hebrew | View | View | View | View |
Hindi | View | View | View | View |
Hmong | View | View | View | View |
Hungarian | View | View | View | View |
Italian | View | View | View | View |
Japanese | View | View | View | View |
Korean | View | View | View | View |
Polish | View | View | View | View |
Portuguese (Brazilian) | View | View | View | View |
Russian | View | View | View | View |
Serbian | View | View | View | View |
Spanish (Latin) | View | View | View | View |
Tagalog | View | View | View | View |
Thai | View | View | View | View |
Ukrainian | View | View | View | View |
Urdu | View | View | View | View |
Vietnamese | View | View | View | View |
Yiddish | View | View | View | View |
Need help?
- Contact the Financial Assistance Team at (313) 874-7800
- Schedule an in-person appointment by calling (313) 916-4510. Business Office Hours are Monday-Friday 8:30am-5:00pm