Let's find help for your bill

Answer a few questions. Nothing is saved, and it's completely free.

Which hospital sent the bill?

Household income ($)

People in your household

Do you have health insurance? This bill is already in collections Your full name (optional)

Add your contact & bill details (optional)

These fill in your request letter so you don't have to write them by hand.

Your address

Your phone

Account or bill number

Date(s) of service

Your ready-to-send request letter (English)

Before sending: replace anything in [brackets] — your name, address, phone, and account number — with your own details.