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Download the Financial Assistance Application SCL Health System Holyrosaryhealthcare  Form

Download the Financial Assistance Application SCL Health System Holyrosaryhealthcare Form

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welcome to Harris Health we care about you and are always here to support your Healthcare needs let's show you how to apply for our financial assistance program our financial assistance program is not Insurance it is helped to pay for medical services received at our locations to apply you will need to provide information about your household income and proof that you live in Harris County you can apply online by mailing or by dropping off a paper application apply online by visiting harrishealth.org and selecting the am I eligible icon at the top right corner scroll down and click on apply online at the portal click on apply here and fill out the application once complete click on send additional proofs to submit all required supporting documents you will need to submit the following identification for you and your spouse proof of home address such as a water or electric bill dated within the last 60 days gross income for the past 30 days for all household members birth certif

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