• 2635 North 7th Street, Grand Junction, Colorado 81501
  • 970-298-CARE (2273) / 1-800-458-3888

Financial Assistance Application

If you do not have insurance, you can speak with one of our Customer Service Representatives about payment terms and financial assistance by calling 1 (866) 665-2636. We may be able to make payment plan arrangements and help you secure Medicaid, Supplemental Security Income (SSI) and other benefits for which you are eligible. We also offer other discounts that may be applicable to you your specific situation.

Please complete the financial assistance form, provide all supplemental information and mail your completed application to:

Financial Assistance
PFS SCL Health
500 Eldorado Blvd., Bldg. 6, Suite 6300,
Broomfield, CO 80021

Once we have received your completed application our Financial Counselors will review your application and inform you of the decision or if they require any additional information.

Download the Financial Assistance Application »


SCL_Charity Application_Spanish

St Marys Hospital Charity required documents 3