Gundersen Health System would like to help as much as possible with any medical expenses that you or your family may accumulate at any of our facilities. All patients who feel that they may be eligible for Financial Assistance are encouraged to apply. Financial assistance application forms are available upon request and without charge or they can be downloaded below.
Financial Assistance Application
In order to qualify for potential financial assistance through Gundersen for medical bills, you will need to complete this form and include the items on the checklist.
Please send completed information to:
Gundersen Health System
Customer Financial Services
PO Box 4444
La Crosse WI 54602-4444
If you have any questions, call us at (608) 775-8660 or (800) 362-9567, ext. 58660 from 7:30 a.m. to 5:30 p.m., Monday through Friday.
Financial Assistance Policy
Self-Pay Billing & Collection Policy