Family Healthcare of Hagerstown has adopted a Financial Assistance Program for all patients regardless of inability to pay.
Please Note: All mental health patients need to also be Family Practice patients; therefore, there are likely no additional forms to complete for mental health patients. Simply completing original and annual updated information for Family Practice will likely be enough.
Also of Note: All new dental patients should complete the Financial Assistance Form below regardless of insurance coverage. For all other patients, if you have insurance of any kind but still feel like you need financial assistance, we invite you to complete the Financial Assistance Form below to see if you are eligible for the Sliding Fee Program. All Financial Assistance Forms must be accompanied by supporting documents as explained on the Financial Assistance Form.