Financial Services

In keeping with its mission, Pawhuska Hospital, Inc. is dedicated to Improving the quality of life in our community by providing excellent healthcare with compassion and respect. As part of that commitment, Pawhuska Hospital, Inc. acknowledges the financial needs of patients and families who are unable to afford the charges associated with the cost of medical care and offer financial assistance to those who have an established need to receive medically necessary medical services.

For financial assistance we utilize a sliding scale based on family size and income.

The following documents contain our policies on assisting patients financially. Our Financial Assistance/Charity Care Policy outlines eligibility and types of financial assistance provided. The Plain Language Summary gives instructions on how to apply. You can download and print these documents by clicking on the buttons below.

Financial Assistance Application

To apply for financial assistance with medical costs please download, print, and complete the following application.

Financial Assistance Application