Financial Assistance/Charity Care

Financial Assistance Policy and Procedure

ECHN is committed to providing financial assistance to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay for medically necessary care based on their individual financial situation. Consistent with its mission to deliver high-quality, compassionate healthcare and to advocate for those who are poor and disenfranchised, ECHN strives to ensure that a person's financial capacity does not prevent him/her from seeking or receiving the needed medical care.
Read the complete Financial Assistance Policy and Procedure:  (English) and (Spanish).

Financial Assistance Application

Eligibility for financial assistance/charity care is based on an individual's assessment of financial need. A Financial Assistance Application (English) and (Spanish.) must be fully completed and signed by the patient or responsible party. 

Printable Financial Assistance Application (English)
Printable Financial Assistance Application (Spanish)

Contact Us

If you have any questions about ECHN's financial assistance policy, procedure, or application guidelines, please call Patient Financial Services at 860.646.1222, ext. 2768.