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Patient Bill Assistance

Apply for financial assistance to help pay your mental health or rehab care bill

First Name

Last Name

Phone

Message

Thanks for submitting!

Address

Household Income

Living Expenses

Est. Total Medical Bill Amount

Email

© 2023 by Shaina's Wish. Approved 501C3 Charity

Facility list
Apply for Funds
- Patient Bill Assistance
- Facility Funding
Blog

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