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Charity Care/Financial Assistance


Coquille Valley Hospital (CVH) is committed to providing financial assistance to people who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. CVH provides financial assistance for people with financial need by waiving all or part of the charges for services provided by CVH. CVH will provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility for financial assistance or for government assistance.

Financial Assistance Policy
Summary of Financial Assistance
Financial Assistance Application
Billing and Collection Policy
Discount and Payment Installment Policy
   English Form   
   English Form
   English Form
   English Form
   English Form
   Spanish Form   
   Spanish Form
   Spanish Form
   Spanish Form
   Spanish Form