Financial Assistance

Please take a moment to download and review the following forms. They contain information on financial assistance offered by PRMC to help pay for your care.

PRMC Financial Assistance & Social Responsibility      Spanish Version

PRMC Financial Assistance Application Form      Spanish Version

PRMC Plain Language Summary    Spanish Version

Providers affiliated with Pratt Regional Medical Center who will provide emergency and Medically Necessary care the terms of PRMC's Financial Assistance Policy include:

Provider

Phone Number

Internal Medicine Provider

*Includes Professional and Technical Fees

620-672-7415

Surgicenter Providers

*Includes Professional and Technical Fees

620-672-6454

Bone and Joint Providers

*Includes Professional and Technical Fees

620-672-1002

Emergency Medicine Providers

*Includes Professional and Technical Fees

620-672-7451

Infusion/Wound Care

*Includes Technical Fees

620-770-4117

 Providers affiliated with Pratt Regional Medical Center who will not be covered under the terms of PRMC's Financial Assistance Policy include:

  1. Anesthesia Services (all professional and technical fees)
  2. Radiologist Fees (all professional fees)
  3. Pratt Family Practice Provider Fees (all professional fees)
  4. Pathologist Fees (all professional fees)
  5. Urgent Care Services (all professional and technical fees)