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Financial Assistance Application


You may be able to receive free or discounted care by completing financial assistance application.

Click here to download and print the Financial Assistance Application Form.

Please return completed application and supporting documents by mail, electronic mail or hand deliver to:

Decatur Memorial Hospital

Attention: Business Office

2300 North Edward Street

Decatur, Illinois 62526

email: FinancialAssistance@dmhhs.org

fax: 217-876-2281