Multicare Financial Aid Form
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Plus, we make it easy for you to connect with the care you need with convenient appointment scheduling options for both new and existing patients. Web online scheduling now at multicare. Web if we cannot reasonably grant your request, we will send you a letter advising you of multicare’s decision. Start by filling out this application.
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Multicare uses the federal poverty guidelines to help determine what financial assistance program best fits your needs. Multicare is a nonprofit health system. Web patients may apply for financial assistance by submitting a financial assistance application with income information. You must provide information on your family’s income.
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Apply for financial assistance with multicare yakima memorial. Our financial assistance application and proof of income instruction sheet are available to download in several languages: Your signed, completed form can then be sent to us via: Request for restriction of personal health information.
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