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?
Speak with our registration staff or financial navigators in person or call:
- Henry Ford Hospital and Medical Centers (including Cottage Medical Center): (313) 916-4510
- Henry Ford Wyandotte Hospital or Brownstown Medical Center: (734) 246-9516
- Henry Ford West Bloomfield Hospital: (248) 325-0201
- Henry Ford Macomb Hospital: (586) 263-2696
- Henry Ford Kingswood Hospital and Maplegrove Center: (248) 398-3200
- Henry Ford Allegiance Health: (517) 205-4920