Christian Care Application
Christian Care ApplicationTo apply for our Christian Care Program, the following information is required:
- Completed application (click here to download).
- Copy of the prior year's tax return, or if one is unavailable, paycheck stubs or other documentation of family income for a period of three (3) consecutive months prior to the month the application is submitted.
- A list of relevant assets, current value and amount of debt outstanding.
- Proof of a completed Public Aid application and a valid denial letter.
All applications or questions regarding this program should be sent to:
Christian Care Program
St. Francis Hospital Business Office
1215 Franciscan Drive
Litchfield, IL 62056
(217) 324-8537
The application, along with the required information, must be completed and returned to St. Francis Hospital within fifteen (15) days. Failure to return the completed application with the required information will result in a denial of the request for Christian Care financial assistance.
|
