SUPPORT OUR MISSION HERE
GET APPLICATION PROCESS INFO HERE
Patient 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 Department. Mapquest 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
East 65th Street at Lake Michigan
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.