Assistance

As a not-for-profit organization, Fairfield Memorial Hospital takes seriously our responsibility to invest our resources and energies into understanding and meeting the diverse healthcare needs of all, and to ensure that everyone, regardless of their ability to pay, receives the care they need.

Should you need assistance at any time, please do not hesitate to contact us.

Assistance Menu Overview

Financial Assistance

  • Financial Assistance Representative: 618-847-8244
  • Application for Financial Assistance; to download, click here

Billing Assistance

  • Private Pay
  • Payment Arrangement
  • Financial Assistance
  • Returned Checks
  • Regarding Your Bill
  • Business Office Hours
  • Insurance Assistance
    • Insurance and Pre-Certification
    • Pre-Certification Requirements
    • Medicare
    • Illinois Department of Public Aid

Medical Records/Health information

  • General Medical Records Information
  • Release of Information Form to obtain Medical Records
  • Power of Attorney/Living Will Information
  • For online access to your records click photo below: