Financial Assistance
Joint Township District Memorial Hospital (JTDMH) is committed to providing Emergency Care and other Medically Necessary Care to patients regardless of race, creed, or ability to pay. To apply for such assistance, please complete, sign, and return the HCAP and Financial Assistance Application available below, along with proof of income for either three months or one year prior to the date of service. For assistance in completing this application, please contact our Financial Counselor at 419-394-8389.
Download assistance documents