Patient billing

Financial Assistance

Community Care at Prairie Ridge Health

Our Community Care program is designed to help patients who are uninsured or underinsured, as well as those who may be experiencing financial hardship. See the program summary for more detailed information (EnglishSpanish).

Applying for Community care:

Option A: Fax or Mail

  • Download, print, and complete the Community Care application (EnglishSpanish).
  • Fax the completed form to (920) 623-1508 or mail it to:

Prairie Ridge Health
ATTN: Patient Financial Counselor
1515 Park AvenueColumbus, WI 53925

Option B: Email

include with your application:

You will also need to include the below documentation with your application. (Patient Financial Counselors may require other verification of income or assets when deemed necessary.)

Applicants will be notified in writing of approval or denial within 14 days of receipt of a complete Community Care application.

Community Care Policy Information: (EnglishSpanish)
Collection Principles Policy: (EnglishSpanish)

get in touch

Have a question about financial assistance?