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The patient completes application/determination
of eligibility form, which includes information
about income, assets, and liabilities. This form must
be submitted to Sauk Prairie Memorial Hospital &
Clinics' Business Services department.
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The hospital considers federal poverty guidelines and
family size
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A designated hospital staff will interview patient
to assess if the patient has the ability to pay in full,
has the ability to pay reasonable monthly installments,
or qualifies for Community Care
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The hospital will notify the patient of whether or
not they qualify for Community Care