Main Resources

Financial Assistance

CMC Financial Assistance / Charity Care & Counseling

Coulee Medical Center is committed to excellent Patient Care.  If you need assistance financially please contact us to see if you qualify Financial Assistance.

Molly Morris - CMC Financial Counselor

509-633-1753 Ext. 8205  morrismt@cmccares.org


Click the link below to access our Financial Assistance / Charity Care Policy:  /core/files/cmccares/uploads/files/Financial Assistance- Charity Care.pdf

Click the link below to access the Plain Language Summary of our Financial Assistance / Charity Care Policy: /core/files/cmccares/uploads/files/Plain%20Language%20Summary%20of%20Financial%20Assistance.pdf

Click here to access CMC's 2018 Poverty Guidlines: /core/files/cmccares/uploads/files/Poverty%20Sliding%20Scale%202018.pdf

To Print an Application for Financial Assistance / Charity Care at CMC, click the link below:   /core/files/cmccares/uploads/files/Application for Financial Aid Charity Care 2018.pdf

 

Release of Information

Download and complete this authorization form for the use, disclosure or release of your protected health information.
ROI Form ROI Form