Locations Main Campus: Chesterfield, MO 63017   |   Locations
314-434-1500 314-434-1500   |   Contact Us

Payment Options

Financial Assistance Application Procedure/Information

The following information is required to make a determination for charity assistance on your bills. This information must be returned within 30 days. If it is not returned, your request may be denied.
Please do not send original receipts/proof of items listed above.

If you have any questions, please call our Customer Service Department at 314-576-8100 or toll free at 888-924-9200, Monday-Friday, 8:30 a.m. to 5 p.m. Please send the infomation to:

232 S. Woods Mill Rd
Chesterfield, MO 63017
Attn: Patient Financial Committee

Download the Financial Assistance Application (PDF) PDF