BUSINESS OFFICE AND MEDICAL RECORDS
Physical Address:
308 W. Cherokee
Lindsay, OK 73052
Mailing Address:
P.O. Box 888
Lindsay, OK 73052
Phone Number: 405-689-7590
Business Office Fax: 405-489-2251
Medical Records Fax: 405-489-2252
Department Hours: Monday-Friday 8:00am – 5:00pm
PATIENT DISCOUNTS
Discounts will be offered on all patient accounts prior to being sent to collections. Eligible discounts are as follows:
- 40% off if balance paid in full
- 30% off if half (1/2) of the balance is paid and the remaining half (1/2) is set up for automatic payments
- 20% off if automatic payments are set up
FINANCIAL ASSISTANCE PROGRAM
Financial assistance only applies to hospital bills and does not include any other medical bills you may have, such as physician, radiology, ambulance, etc.
In order to be considered for full or partial assistance you must complete the Financial Assistance Application. The responsible party must sign and date the bottom and return the completed application within 14 days of receipt.
Requirements for Consideration of the Financial Assistance Program: To be considered for this program, it is necessary for you to provide us with ALL (if applicable) of the following for supporting documentation.
- Most recent Federal Tax Return (If you did not file a tax return or were not required to file a tax return, per Federal guidelines, please provide the documents listed below.)
- Supporting W-2
- Supporting 1099’s
- Employer pay stubs
- Written documentation from income sources
- Qualified Medicare or Medicaid benefits (including Food Stamps)
- If you have applied for Medicare or Medicaid and were denied, please provide the letter that was sent to you explaining the reason for denial.
- Copies of all bank statements for the past three months
- Written letter explaining your hardship
If, for any reason, you cannot provide us with the requested information please attach a written statement explaining why you cannot provide the information requested.
Please allow for ten (10) business days for our review process. We will notify you of our determination by letter.
Remember if you return this application your bill may be included in our Financial Assistance Program.
Mail application and required documents to:
Lindsay Municipal Hospital
PO Box 888
Lindsay, OK 73052
Attn: Business Office