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Get and Sign Duke Charity Care Application  Form

Get and Sign Duke Charity Care Application Form

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# 2 _____YES_____NO____SELF _____YES_____NO____SELF _____ Years ____ Months _________ _____ Years ____ Months _________ Patient / Guarantor # 1 Spouse / Guarantor # 2 MONTHLY INCOME 1. Gross salaries, wages before taxes 2. Business Income 3. Rental Income 4. Investment Income 5. Income from Estates/Trusts 6. Alimony Income 7. Child Support 8. Social Security 9. Aid to Dependant Children 10. Public Assistance Income 11. Other Income (list amount & source) (lines 11-12) 12. 13. Total...
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How do i apply for duke charity care

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Instructions and help about duke hospital financial assistance

hi everyone it's me Rosaline and I wanted to share how to apply Finn since program when you are a US citizen here in Atlanta Georgia I have a separate video on how to apply financial assistance program when you are not a US citizen I will write down the link below of this email so you can check and watch if you are not a US citizen basically the process and the requirements are the same for the US citizen and not US citizen but if you are US citizen it's much easier to apply then you are not a US citizen okay so financial assistance program is for residents who are uninsured and they're insured not eligible for any assistance program or unable to pay for the cost of health care if you are not able to pay for all or part of your health care you may be eligible for free or discounted services so you can apply financial assistance program when you don't have any insurance and you don't have Medicaid because if you have Medicaid and other insurance they will not approve your application fo

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