Patient Financial Services - Lakewood Health System - Staples Hospital and Clinic
49725 County 83, Staples, MN 56479
Patients who are uninsured or underinsured and have a household income between 100 and 240% of the Federal Poverty Guideline
Application/registration form copies of tax returns, last two months of paychecks, most recent bank statements, pension income, Social Security income statements, disability benefits, Unemployment Insurance compensation award letter, or other documents of income received
8 am - 4:30 pm Monday - Friday
Intake Financial Assistance Program Coordinator
Account Balance
Call for information about eligibility to determine discount amount
Cass County, MN Douglas County, MN Morrison County, MN Todd County, MN Wadena County, MN
Other Information
Program Fees
Provides the Customer Assistance Program that can be applied to most services on patient's medical bills. The program is provided when care is deemed medically necessary, after meeting income criteria. Offers both free care and discounted care, depending on individuals' family size and income. Medical expenses not covered under this program are insurance co-pays, Department Transportation physicals, Lakewood Care Center, Care Van, Lakewood Pines, or Manor Accounts, and In Vitro Fertilization services.
12/11/2025
Lakewood Health System - Staples Hospital and Clinic
Acute care hospital, emergency department, and level III trauma center
