Financial Assistance Program | Arkansas Children's Hospital

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Arkansas Children’s Hospital offers a financial assistance program for patients not eligible for other assistance programs. Application forms are available at all registration areas or you may download it here. Income and resource verification is required with the application. Financial Counselors are available in the Admissions area and in the clinic areas if you need help completing the form. Patient Accounts Customer Service staff are also available to answer your questions about our financial assistance policy at 501-364-2500.

Financial Assistance Form - .pdf (English)

Información en Español

Solicitud Para Asistencia Financiera - .pdf (en Español)

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Arkansas Children's Hospital, 1 Children�s Way, Little Rock, AR 72202-3591, (501) 364-1100 or TDD (501) 364-1184

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