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Click here for the Plain Language Summary of the Financial Assistance Policy. Click here for Spanish translation. For the complete Financial Assistance Policy (FAP) please click here. For the current annual calculation for Amounts Generally Billed click here. Click here for a current listing of providers/groups covered by the FAP. Providers who refer patients to WMRMC may or may not have their own Financial Assistance Policy. Click here for providers who do NOT participate in WMRMC's Financial Assistance Policy. To apply for WMRMC Financial Assistance Policy please click here to download the form. Please return this form to Patient Financial Services at the hospital or mail to: White Mountain Regional Medical Center Patient Financial Services 118 South Mountain Avenue Springerville, AZ 85938 Paper copies of the Financial Assistance Policy, Plain Language Summary and Application are available at the Admitting Office and at Patient Financial Services. In compliance with Federal Regulations, 501(R), please click here for Form 990. In compliance with Federal Regulations, 501(R), please click here for WMRMC Community Health Needs Assessment results. |
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| 118 S. Mountain Ave, Springerville, AZ 85938 ~ Phone: 928.333.4368 TDD: 928.333.7156 | |||||||||||||||||||||||
