Other Locations Financial Assistance Information

Serving the Needs of Those in Our Area

As members of AdventHealth, our faith-based hospitals are committed to excellence in providing quality health care while serving the diverse needs of those living in our area. Financial assistance may be available to patients receiving non-elective (emergent) hospital services who are not covered by any form of insurance or government program. Verification of income and financial information is required.

Please click on the link "Calculation of Amount Owed for Financial Assistance Eligible Individuals" for an explanation of how your uninsured discount is calculated.

Calculation of Amount Owed for Financial Assistance Eligible Individuals

The following documents are included when you access the links below: Summary of our Financial Assistance Policy; Financial Assistance Application; and Financial Assistance Policy.

LanguageSummary of our Financial Assistance PolicyFinancial Assistance ApplicationFinancial Assistance Policy
EnglishView PDFView PDFView PDF
Spanish (EspaƱol)View PDFView PDFView PDF

You may also talk with a hospital representative for additional assistance and information using the contact information below.

AdventHealth Polk
Attention: Financial Assistance Department
101 Hospital Drive
Columbus, NC 28722