What documents do I need to apply for financial assistance?

You'll need your most recent tax return, most recent bank statements for all accounts, and the last two pay stubs for all employed adults in your household. Incomplete applications will be denied.

How long does it take to process a financial assistance application?

Please allow 14 business days after submitting your completed application. If you haven't received a response call our billing team at 503-535-1458.

What happens if my financial assistance application is incomplete?

Incomplete applications will be denied and collection efforts may resume. Applications will be reconsidered once all required information is received.

We believe healthcare should be accessible to every family.

If you're experiencing financial hardship, you may qualify for assistance with your medical bills. Fill out our application to find out what options are available to you, our billing team is here to help.

Apply Today

A father lifting his laughing toddler onto his shoulders outdoors

Here's how to apply

Download and complete the application

Fill out all sections of the Financial Assistance Application, including family information, employment and income details, and monthly expenses.

Gather your supporting documents

Your application must include the following to be considered:

Copy of your most recent tax return
Copy of your most recent bank statement for all bank accounts
Copies of your last two pay stubs (or last two unemployment pay stubs) for all employed adults in the household

Submit within 14 days

Return your completed application and all required documentation to our Billing Office within 14 days. Incomplete applications will be denied. Make sure everything is included before submitting.

Wait for a decision

Please allow 14 business days for your application to be processed. If you don't receive a response or need help completing the application, call our billing team at 503-535-1458.

Submit your application to

The Children's Clinic
Attn: Billing Office
9450 SW Barnes Road, Suite 200
Portland, OR 97225

Download the Application to Get Started

How we calculate assistance

To ensure fair and legal payment options for all patients, The Children's Clinic uses the national Poverty Guidelines published by the U.S. Department of Health and Human Services. Hardship adjustments are offered on a sliding scale based on those guidelines and the supporting documentation provided with your application.

Frequently Asked Questions

What documents do I need to apply for financial assistance?
You'll need your most recent tax return, most recent bank statements for all accounts, and the last two pay stubs for all employed adults in your household. Incomplete applications will be denied.
How long does it take to process a financial assistance application?
Please allow 14 business days after submitting your completed application. If you haven't received a response call our billing team at 503-535-1458.
What happens if my financial assistance application is incomplete?
Incomplete applications will be denied and collection efforts may resume. Applications will be reconsidered once all required information is received.