DOCTORS MEMORIAL HOSPITAL INC
PERRY, FL · version 1 · published · JSON
eligibility.free_care_max_fpl200% of the federal poverty level"Approved patients whose gross household income falls at or below 200% of current Federal Poverty Level will be considered for the maximum allowable write off of 100%."
documented · checked 2026-10-11 · Financial Assistance Policy and Procedure
apply.form_urlhttps://www.doctorsmemorial.com/wp-content/uploads/2021/07/Financial-Assistance-Form.pdf"[Declaration financial statement form](https://www.doctorsmemorial.com/wp-content/uploads/2023/10/Declaration-Financial-Statement-2022-PDF-Form.pdf)"
documented · checked 2026-10-11 · Financial Assistance Application
apply.documents_requiredProof of residency"Proof of Residency: Return documents verifying address and county you live in (electric bill, water bill, etc.)"
documented · checked 2026-10-11 · Financial Assistance appLICATION letter
apply.decision_days30 days"The applicant will be notified within 30 calendar days of receipt of a complete application."
documented · checked 2026-10-11 · Financial & Billing Information - Doctors' Memorial Hospital
contacts.phone850-584-0862 or 850-584-0863"Patient Financial Services representatives are available to assist you in understanding the financial assistance program and to answer any questions you may have. Should you need assistance in any other language besides English, the program may be able to provide a translator for you. The financial counselor will also be able to assist or inform you of other programs such as Medicaid, Disability and Vocational Rehabilitation Services that may assist you with your hospital bill. Our financial counselors will also be able to direct you to healthcare navigators within our community that can assist you with finding insurance through the market-place exchange."
documented · checked 2026-10-11 · Financial & Billing Information - Doctors' Memorial Hospital
contacts.hoursMonday through Friday, 8:30 – 4 p.m."Patient Financial Services 333 N. Byron Butler Parkway Perry, FL 32347 Phone: 850-584-0862 or 850-584-0863 Hours: Monday through Friday, 8:30 – 4 p.m."
documented · checked 2026-10-11 · Financial & Billing Information - Doctors' Memorial Hospital
contacts.languagesEnglish"Should you need assistance in any other language besides English, the program may be able to provide a translator for you."
documented · checked 2026-10-11 · Financial & Billing Information - Doctors' Memorial Hospital
Sources
Financial Assistance Application — fetched 2026-10-11
[PDF] Financial Assistance Policy Plain Language Summary — fetched 2026-10-11
Financial & Billing Information - Doctors' Memorial Hospital — fetched 2026-10-11
Billing and Collections Policy — fetched 2026-10-11
Financial Assistance Policy and Procedure — fetched 2026-10-11
Financial Assistance Application — fetched 2026-10-11
Financial Assistance Application — fetched 2026-10-11
Financial Assistance appLICATION letter — fetched 2026-10-11