PATIENT FINANCIAL SERVICES

Dimmit Regional Hospital acknowledges the financial needs of patients and their families who are unable to pay for their medical services and offers a Financial Assistance Program (FAP) for medically necessary services to those who have an established need. Eligibility for this program is based solely on financial need and is provided on a non-discriminatory no cost basis.

Hospital Financial Assistance Program:

You may qualify for the hospital financial assistance program if the family's annual gross income is less than or equal to 200% of the federal poverty level based off the federal poverty guidelines. Eligible individuals will not be charged more than amounts generally billed. Patients wishing to apply for the Financial Assistance Program may submit requested documentation and application to the FAP Coordinator or Registration Clerk.

To get you started, please access the following documents:
Financial Assistance Plain Language Summary
FAP Application
FAP Policy
Credit and Collections Policy
Amount Generally Billed Calculation
Appendix A - Bills from Physicians

For more information about and/or assistance with any of these options, please contact:

Registration Clerk
Main Registration Area
704 Hospital Drive
Carrizo Springs, TX. 78834
(830) 876-2424

FAP Coordinator
704 Hospital Drive
Carrizo Springs, TX.78834
(830) 876-2424 ext. 416