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Financial Assistance

How to Apply

Patients may request financial assistance by completing an application with required supporting documentation.

Download the Financial Assistance Application.

Please mail your completed application to:

UMMC Revenue Cycle Management
Health Care Benefit Coordinator
504 Clinton Center Drive, Suite 2300
Clinton, MS 39056

You may also apply:

If you need help

If you have questions, need help, or would like to request an application form, please contact us at (601) 815-9430. If English is not your first language, translation services, including translated versions of our information about financial assistance, are available upon request. For Translation Services, call 1-877-746-4674.

UMMC Plain Language Summary

UMMC Financial Assistance Policy