Northwest Florida Community Hospital’s Financial Counselor is available Monday through Friday from 8:00am to 4:30pm CST to assist you with your financial needs.
Northwest Florida Community Hospital and its staff are dedicated to serving the community’s healthcare needs.
At Northwest Florida Community Hospital we provide emergent services and most medically necessary services regardless of financial status or the patient’s ability to pay.
Payment on accounts will be pursued consistently, without discrimination.
In the event a patient is unable to pay we offer financial assistance options.
Financial Assistance / Charity Care
How to Request Assistance:
Begin by obtaining a Financial Assistance Application from any of the following methods:
- Click here to download the Financial-Assistance-Application
- Visit the Financial Counselor in person to request a Financial Assistance Application
- Call the Financial Counselor at (850) 415-8165 to request an application be mailed to you
Complete and return the Financial Assistance Application with all the applicable documentation indicated (the most recent copies of your W-2, Tax Returns, Pay Stubs and Bank Statements) to the Financial Counselor for review.
What to Expect:
Your application will be reviewed and a decision will be communicated to you. All information is confidential. Eligibility is calculated based on the Federal Poverty Guidelines and the indicators listed below.
- Family Size
- Income Guidelines
If you have questions or need assistance completing the application please contact the hospital’s Financial Counselor.