Saline Memorial Hospital has a variety of financial assistance options available to our patients who are uninsured or underinsured. We will assist you in determining if you qualify for financial assistance or if there are programs available that may help pay for your medical services.

A completed financial assistance application and proof of income must be submitted in order for us to consider a financial need discount and/or full financial assistance. Additional information and/or a statement of charges for services rendered by the hospital may be obtained by calling (501) 776-6069. 

List all household members below including their Name, Birth date, Employer, Relation and SSN:

Total Household Income: Annual Amount

Assets:

Do you have health insurance?


 




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