Patient Resources

• Patient has received emergency care 
• Patient has received or is scheduled for medically necessary care and resides in the Northeast Georgia Health System service area (defined below):
  • Medically necessary care means care which is appropriate and consistent with the diagnosis and if not received could adversely affect or fail to improve the patient’s condition.  It is care that is not cosmetic, experimental or deemed to be non-reimbursable by traditional insurance carriers and governmental payers.  It is care that is deemed medically necessary by an examining physician’s determination.
• Patient’s gross family income is between 0 and 300% of the Federal Poverty Guidelines, adjusted for family size

Downloadable forms and resources are located at the bottom of this page.

The Financial Assistance application and policy may be found below in the related documents section. You may contact the ASC at 770-848-1730 (select option 4 for financial assistance) or through MyChart for any assistance needed in completing the application or for any questions you have.

Have questions? Call 770-848-1730 and select option 4 for financial assistance. The MyChart instructions will continue to apply.

• Financial Assistance Policy
• Financial Assistance Instructions
• Financial Assistance Application