2621 Greenhaven Road, Anoka, MN 55303

8 am - 5 pm Monday - Wednesday and Friday; 9 am - 5 pm Thursday

- Visit website for application/registration form. After the application is received, a letter is sent to the applicant within 10-14 days by mail notifying them if they qualify for the program or not. If they qualify, the amount the bill is discounted is included in the letter. The program qualification lasts three months from the approval date. Individuals need to apply again after three months to see if they qualify for the program. - Mail completed application to PO Box 183 Minneapolis, MN 55480-0183 - Email completed application to [email protected] - Walk in to clinic to submit an application. Put application and required documents in a sealed envelope labeled "Patient Accounting" to ensure confidentiality.

Application/registration form; last federal tax returns; liquid asset holdings; proof of income pay stubs within the last 60 days; Social Security income statements, letter, or unemployment benefit letter

- HealthPartners Clinics patients having trouble paying their HealthPartners medical bills - Individuals must first apply for and use all government program assistance - If an individual was denied government assistance based on income guidelines, they may still qualify for the HealthPartners Clinics Financial Assistance Program

MN