Financial Assistance Information
Below you will find three links to documents regarding financial assistance:
- A Notice of Availability of Charity Care/Financial Assistance (pdf)
- An Application for Charity Care/Financial Assistance (pdf)
- Instructions for applying for Charity Care/Financial Assistance (pdf)
Please read the first item – the Notice of Availability of Charity Care/Financial Assistance. After reading it, if you believe that you would qualify for our charity program, please proceed to the second item – the Application for Charity/Financial Assistance. Please fill out the application and refer to the third item – the Instructions, with any questions on completing the application.
Send the application along with a copy of all required documents that apply to your family unit to this address:
ECM/Shoals Hospitals
Attn: Financial Services
P.O. Box 10005
Florence, AL 35631
If you need help completing your application and would like to speak with a Customer Service Representative/Financial Counselor, or if you would like to make an appointment to come in and speak with someone in person, please call 256-768-8344.
