Assistance

As a not-for-profit organization, Fairfield Memorial Hospital takes seriously our responsibility to invest our resources and energies into understanding and meeting the diverse healthcare needs of all, and to ensure that everyone, regardless of their ability to pay, receives the care they need.

Should you need assistance at any time, please do not hesitate to contact us.

Assistance Menu Overview

Financial Assistance

Financial Assistance Representative: 618-847-8244
Application for Financial Assistance; to download, click here

Billing Assistance

Private Pay
Payment Arrangement
Financial Assistance
Returned Checks
Regarding Your Bill
Business Office Hours
Insurance Assistance

- Insurance and Pre-Certification
- Pre-Certification Requirements
- Medicare
- Illinois Department of Public Aid

Medical Records/Health information

General Medical Records Information
Release of Information Form to obtain Medical Records
Power of Attorney/Living Will Information
For online access to your records click photo below: