Patient Financial Services

As part of its commitment to Exceptional Community Care, Goodall-Witcher Hospital Authority provides a Financial Assistance Program to patients who satisfy certain requirements. This includes patients who do not have health insurance and can’t pay their hospital bill as well as patients who have coverage with an insurance carrier but are unable to pay their portion of the hospital bill after insurance pays.

Our financial aid policies reflect Goodall-Witcher Hospital Authority’s dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations.

Help is available by completing a financial assistance application. Once completed the application and documents can be emailed to Karla Rodriguez or fax them to 254-675-8007, or mail them to P.O. Box 549, Clifton, TX 76634. Required documents MUST accompany application, or it cannot be processed.

Financial Assistance Application (PDF)

Financial Assistance Application (PDF - Spanish)

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