Patients & Visitors


Financial Assistance Program and Collection Policy Financial Assistance Program and Collection Policy.pdf
  PROGRAMA DE ASISTENCIA FINANCIERA Y POLIZA DE COBRANZA

Policy - Plain Language Summary Updated.pdf
  Resumen en Lenguaje Sencillo de la Póliza de Asistencia Financiera

Federal Poverty Levels - Appendix A.pdf
Providers and Groups covered by FAP - APPENDIX B.pdf
Providers and Groups Not covered by FAP - APPENDIX C.pdf


Financial Assistance Application -  Public Assistance.pdf
   Estado Financiero Personal Para Asistencia Financiera.pdf

Cheyenne County Hospital will not discriminate due to the patient’s inability to pay for health care services or because payment for health care services will be made under Medicare, Medicaid, or the Children's Health Insurance Program (CHIP).