Testimonial, Joann Tillman
EmailPrint

How to apply for Financial Assistance

As your community healthcare provider, Archbold Medical Center provides the Financial Assistance Program to assist eligible uninsured and/or underinsured patients and their families with medical bills beyond their ability to pay. You may apply in person at the time of service, at the Patient Financial Services office or click here to print the Financial Assistance Program application.  Complete the application form and worksheet and return to: Archbold Medical Center, P.O. Box 915, Thomasville, GA 31799.

Click here to print our Letter of Support.

Click here for the Wage Verification Form.

Click here for the Declaration of Household Assets form.

How do I know if I am eligible for the Financial Assistance Program?

To apply for this program, you must complete the Financial Assistance Program application form, sign and return it to our Patient Financial Services office.  We use your information about your family size and income to help determine eligibility.  The information provided will remain confidential and will be used only to determine your eligibility for financial assistance. 

How do I know if I have been approved for the Financial Assistance Program?

The Financial Assistance Program Case Manager will review your application and determine your eligibility.  You will be notified by mail regarding your eligibility and the amount of charges covered under the program if your application is approved.  If a Sliding Fee Scale Adjustment is awarded, you will be subject to an interest-free monthly payment plan establised by the balance of your accounts after all discounts are applied.

What if I have questions about my application or eligibility?

Please feel free to call our Financial Assistance Program Case Manager at 229-228-8840 or toll free at 1-877-269-8181, ext. 8840.  You may also fax your questions to 229-228-8893.  Archbold Medical Center's Patient Financial Services is conveniently located at 920 Cairo Rd., Thomasville, Georgia.

Directions to Patient Financial Services

Archbold Memorial Hospital | (229) 228-2000
915 Gordon Ave, Thomasville, GA 31792

Brooks County Hospital | (229) 263-4171
903 North Court Street, Quitman, GA 31643
Grady General Hospital | (229) 377-1150
1155 5th St., Cairo, GA 39828

Mitchell County Hospital | (229) 336-5284
90 East Stephens St., Camilla, GA 31730
 

More »