Residential Services
Financial Assistance (reference)
financial assistance
Financial Assistance
Our mission includes the belief our services need to be available to everyone regardless of race, color, national origin, citizenship, sex, religion, age, disability, political beliefs, sexual orientation, martial or family status or the ability to pay. To support the community we serve, counselors are available to assist you in applying for financial assistance via state Medicaid, local county agency assistance, federal and other charitable programs.
In addition, Pine Rest Christian Mental Health Services may reduce or eliminate amounts due for services provided if a patient qualifies for our charitable or patient assistance programs. Participation in these programs is based on a percentage of established Federal Poverty Guidelines, household income and assets.
Our program information and policy guidelines for financial assistance eligibility.
Financial Assistance Eligibility Policy
Financial Assistance Eligibility Policy – English
Financial Assistance Eligibility Policy – Arabic
Financial Assistance Eligibility Policy – Bosnian
Financial Assistance Eligibility Policy – Burmese
Financial Assistance Eligibility Policy – Chinese
Financial Assistance Eligibility Policy – French
Financial Assistance Eligibility Policy – German
Financial Assistance Eligibility Policy – Kinyarwanda
Financial Assistance Eligibility Policy – Korean
Financial Assistance Eligibility Policy – Nepali
Financial Assistance Eligibility Policy – Somali
Financial Assistance Eligibility Policy – Spanish
Financial Assistance Eligibility Policy Summary (plain language summary)
Financial Assistance Eligibility Policy Summary – English (plain language summary)
Financial Assistance Policy Summary – Arabic
Financial Assistance Policy Summary – Bosnian
Financial Assistance Policy Summary – Burmese
Financial Assistance Policy Summary – Chinese
Financial Assistance Policy Summary – French
Financial Assistance Policy Summary – German
Financial Assistance Policy Summary – Kinyarwanda
Financial Assistance Policy Summary – Korean
Financial Assistance Policy Summary – Nepali
Financial Assistance Policy Summary – Somali
Financial Assistance Policy Summary – Spanish
Application Form
Financial Assistance Application Form – English
Financial Assistance Application Form – Arabic
Financial Assistance Application Form – Bosnian
Financial Assistance Application Form – Burmese
Financial Assistance Application Form – Chinese
Financial Assistance Application Form – French
Financial Assistance Application Form – German
Financial Assistance Application Form – Kinyarwanda
Financial Assistance Application Form – Korean
Financial Assistance Application Form – Nepali
Financial Assistance Application Form – Somali
Financial Assistance Application Form – Spanish
