Financial Assistance Program

Charity Care / Community Benefit

Consistent with our Mission and Values, Community Memorial Healthcenter (CMH) is committed to providing the highest quality health care services to all members of the community. The hospital provides these services consistently and compassionately.

CMH offers assistance for patients and families with limited financial resources. The hospital's financial counselors help patients work out financial terms that meet their needs. Financial Counselors can be reached at 434-447-3151, Ext. 3200. The financial counselor will review payment and funding options that may be available to you.

We understand that circumstances occasionally arise that prevent the payment of a bill. In such situations, we must rely on our patients to keep us informed. We will do whatever we can to help patients who demonstrate their willingness to pay for their hospital care.

Patients who demonstrate an inability to pay for health care services may be eligible for our Financial Assistance program. Our financial specialist can also help identify local, state or federal programs that can assist you in meeting your financial obligations.

To determine eligibility, the patient/guarantor must complete the Financial Assistance Application form and provide supporting documentation. Documentation required includes most recent pay stubs, verification from all employers, most recent W-2 forms, tax return, proof of any other type of income received and bank statements.

For more information please contact our Financial Specialist at (434) 447-3151, Ext. 3203. We will treat your questions and any information you provide us with confidentiality and courtesy.

Everything you need to apply for financial assistance is right here online. You can print the necessary application forms and fill them out to send into the Financial Specialist in the Patient Accounting Department.

If you would like to view Community Memorial Healthcenter's full policy on our Financial Assistance program, click one of the links below or you may request a free copy be sent to you by mail.

Indigent and Charity Care Policy (.pdf file)

To download a Financial Assistance Application Form to fill out and send in, click the link below.

Financial Assistance Application Form (.pdf file)

CMH is here to help in anyway we can, so if you have any questions or concerns, or would like help filling out your forms, please call the CMH Financial Specialist at (434) 447-3151, Ext. 3203.