KCMH Financial Assistance

If you would like to apply for financial assistance, please complete the form below.  Once completed, contact Misty Kenton at Kiowa County Memorial Hospital business office (620)723-3341, or by email at mkenton@kcmh.net 

Financial_Assistance_Application (pdf)

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Financial_Assistance_Program (pdf)

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Plain_Language_Summary (pdf)

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Programa_de_asistencia_financiera (pdf)

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Resumen_de_lenguaje_sencillo_de_asistencia_financiera (pdf)

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