Patient Financial Assistance Application

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Attached to this post is the Greeley County Health Services Patient Financial Assistance Application. Please complete and return to:

PATIENT FINANCIAL ASSISTANCE COORDINATOR
PO Box 640
Tribune, Kansas 67879
Fax: (620) 376-2800

IF YOU HAVE ANY QUESTIONS REGARDING FINANCIAL ASSISTANCE, PLEASE CONTACT THE PATIENT FINANCIAL ASSISTANCE COORDINATOR AT: Tribune 620-376-4251 or Sharon Springs 785-852-4230.

Financial Assistance Application-Current Oct 2014

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