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  • Rush Copley Financial Assistance Form

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Dear Patient/Guarantor, A request has been made to my office, that you be evaluated for financial assistance on your Rush-Copley Medical Center's bill. Consideration for assistance will be based on.

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Free Application for Federal Student Aid (FAFSA): You must include Rush's school code (009800) in the school section of the FAFSA document.

For questions or to file a report, contact RUSH Employee Health Services, 475 Atrium Building, (312) 942-5878.

Dear Sir or Madam: I am writing to notify you of my inability to pay the above-referenced bill for (describe your condition and treatment). I have received the enclosed bill (enclose a copy of the documentation received from the billing company), but I am unable to pay the bill as outlined.

Rush University Medical Center: Customer service, (312) 942-5967.

Human Resources: For job opportunities, employment verification and information about working at RUSH, please call (312) 942-3456 or visit the Careers website.

The phone number is 785-222-2545 for the Hospital and 785-222-2564 for the Clinic.

Jill Gable - Director of Student Financial Aid - Rush University | LinkedIn.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Rush Copley Financial Assistance Form
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