Financial Assistance

La Rabida offers financial assistance to patients who qualify.  With the application process, decisions will be communicated by mail or telephone within 10 days of the hospital’s receipt of your completed application.

The Process

Eligibility is determined using the Financial Assistance Application.  Print, complete and submit the form to request a review of your eligibility for assistance.  The application is also available for pick-up at the hospital's Patient Financial Services DepartmentMapquest directions here.

Patient Financial Services

  • Make financial assistance inquiries
  • Request a Financial Assistance Application
  • Seek assistance in completing the form

Form submission
Mail the completed form and all required documentation to:

La Rabida Children's Hospital,
Patient Financial Services
Attn:  Financial Assistance Representative
6501 South Promontory Drive
Chicago, Illinois  60649

Contact Us
For additional details, call Patient Financial Services at 773.753.8678, 9:00 a.m. to 4:00 p.m., Monday through Friday.