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This guide will assist you in completing the financial assistance application from Baylor Scott & White Health. By following these clear steps, you can ensure that your application is filled out accurately and efficiently, increasing your chances of receiving the assistance you need.

Follow the steps to fill out your financial assistance application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This will provide you with the necessary document to proceed with your application.
2. Carefully read through the eligibility requirements outlined in the form. Ensure you understand your family income level as it relates to the Federal Poverty Guidelines, as this will impact your potential discounts.
3. Fill in your personal details in the designated fields, including your name, contact information, and any health insurance details you may have.
4. Provide financial information that includes your family income and any relevant assets. Be as precise as possible to avoid delays in processing your application.
5. Review the established discount guidelines to determine which category your income falls under and what discount you may qualify for.
6. If your circumstances do not meet the preset guidelines, indicate any special circumstances that should be considered by a BSWH representative in the application form.
7. After completing all sections of the form, thoroughly review your entries to ensure all information is accurate and complete.
8. Finally, save your changes, and choose the option to download, print, or share the form as necessary. Ensure to keep a copy of your application for your records.

Start your application for financial assistance online today to access the support you need.