Columbus Community Hospital

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Home > For Patients & Visitors > Patient Financial Information > Financial / Charity Assistance Program

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Financial / Charity Assistance Program

If you would like to request Financial Assistance, please click on Charity/Financial Assistance Application link below, print and complete the application. Return the completed form to our Patient Accounts Department, Columbus Community Hospital, 4600 38th St., Columbus, NE 68601. If you have any questions regarding these programs, please contact our Patient Accounts Department at 402-562-3159.

Charity-Financial Assistance Application - English.pdf
Charity-Financial Assistance Application - Spanish.pdf
Financial Assistance Policy Summary - English.pdf
Financial Assistance Policy Summary - Spanish.pdf
Financial Aid/Charity Program Policy - English.pdf
Financial Aid/Charity Program Policy - Spanish.pdf
Calculation of Amounts Generally Billed (AGB) - English.pdf
Calculations of Amounts Generally Billed (AGB) - Spanish.pdf
Columbus Community Hospital (CCH) & CCH-Employed Physicians, Practitioners & Clinics - English.pdf
Columbus Community Hospital (CCH) & CCH-Employed Physicians, Practitioners, & Clinics - Spanish.pdf
Independent Community Physicians & Other Independents - English.pdf
Independent Community Physicians & Other Independents - Spanish.pdf

© 2018 Columbus Community Hospital, Inc.
4600 38th Street
P.O. Box 1800
Columbus, Nebraska 68602-1800
T: 402-564-7118
E: info@columbushosp.org

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