888-483-9893

  • Home
  • LOGIN
    • Client Portal
    • Staff Portal
    • Attorney Portal
  • Patient Support
    • Patient Payment Portal
    • FAQ's
  • More
    • Home
    • LOGIN
      • Client Portal
      • Staff Portal
      • Attorney Portal
    • Patient Support
      • Patient Payment Portal
      • FAQ's
  • Home
  • LOGIN
  • Patient Support

Financial Hardship Application

We offer two separate application packets.  Financial hardship (requesting 100% forgiveness) and Request for Discount &/or Payment Plan. Please select option that pertains to your individual needs.

- Hardship Packet to patients (pdf)Download
- Discount or Payment Plan Packet to Patients (pdf)Download

Copyright © 2022 Health Claims Plus - All Rights Reserved.

  • Employment Application

HAPPY EMS WEEK