Medical Financial Assistance Program

Self Regional Healthcare provides for all patients regardless of race, sex, creed, national, origin and ability to pay. Self Regional Healthcare will make medically necessary or urgent services available at no charge to those who are unable to pay and meet certain financial and residency guidelines. Please see the documents below for more information.

Charity Policy (English)
Charity Policy (Spanish)
Financial Aid Summary (English)
Financial Aid Summary (Spanish)
Financial Aid Application (English)
Financial Aid Application (Spanish)

Application Submission Directions

Click here to see a complete list of Self Regional Healthcare providers.