KCMH Financial Assistance
If you would like to apply for financial assistance, please complete the form below. Once completed, contact Kiowa County Memorial Hospital business office (620) 723-3341, or by email at billing@kcmh.net
2025 Financial Asst App (PDF)
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2024 Financial Asst Plain Language Summary (PDF)
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APPENDIX A (PDF)
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APPENDIX B 2024 (PDF)
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APPENDIX C 2025 (PDF)
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BUS.003 Prompt Pay Discount (PDF)
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BUS.007 financial asst policy (PDF)
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BUS.008 Billing and Collection Policy (PDF)
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Payment Options
Partnership with PayZen
Kiowa County Memorial Hospital is pleased to announce that we have partnered with PayZen
PayZen offers affordable payment options, so you can now pay your bill over time with no interest or fees. Enrollment is fast, easy, and automated, with customized payment plans that work for your budget.
If you have an outstanding balance greater than $250 and would like to enroll in a payment plan, sign up at kcmh.payzen.com