Applying for Financial Assistance

How Do I Apply?

You will need to complete an easy Financial Assistance Application and attach documents that prove your income. Each patient requesting financial assistance should complete and submit a separate application.

In order for your application to be processed upon receipt, please provide the following documents as they are necessary to complete the processing of your application:
Complete Federal Tax Return (most recent) including all schedules and W-2s.
Copy of most current two month’s paycheck stubs for each income listed.
Most current month’s bank statements and/or other income verification.
Social Security Income verification (if applicable).
Unemployment verification (if applicable).
Copy of Medicaid denial (if applicable).

Please understand that we cannot process your application until all supporting documentation is received.

When Should I apply?

You should apply for financial assistance as early as possible during your medical care. However, you may apply at any time before, during, or after your treatment, up to the resolution of your Penn Highlands account. 

You may reapply if your financial situation changes.

How do I know if I'm approved?
You will receive written confirmation in the mail.

Where Can I learn more?

FAP Patient Financial Guide

By Phone

Talk with a financial advocate, simply call during our business hours:
Penn Highlands Brookville  Business Office  - 814-849-1438
Penn Highlands Clearfield Business Office - 814-768-2484
Penn Highlands DuBois Business Office - 814-375-4200
Penn Highlands Elk  Business Office - 814-788-8246

By Appointment
If you need assistance with completing the application form and would like to schedule an appointment, please call the Business Office.

Business Office Locations:

Penn Highlands Brookville
100 Hospital Road  
Brookville, PA 15825  

Penn Highlands Clearfield  
438 Front Street
Clearfield, PA 16830  

Penn Highlands DuBois  
204 Hospital Avenue  
DuBois, PA 15801 

Penn Highlands Elk 
763 Johnsonburg Road  
St Marys, PA 15857