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Financial Assistance

St. Luke Community Hospital is committed to treating patients with dignity and consideration regardless of their financial circumstances. If you are in need of services at St. Luke Community Hospital and you are without healthcare coverage or have financial challenges, please print and complete a copy of the following forms and return the completed application along with the required documentation within 30 days of receiving the packet.


Click here for Patient Financial Assistance Policy

Part I

Click here for Part I

Part II

Click here for Part II