|
![]() |
Please click here for Charity Income Guidelines. Proof of Income The following are examples of acceptable proof of income used for the determination of Charity Care. At a minimum, 2 forms of proof of income are required. It is at the discretion of Wabash General Hospital to determine acceptable proof of income. Current Federal Income Tax W-2’s Letter showing current eligibility for assistance Current Pay Stubs Unemployment Compensation Letter/Notice Recent LES for Military Personnel Divorce Decree Copy of Student Financial Aid Application with determination notice Food Stamp Document showing current eligibility Social Security Administration Benefit Letter Current Bank Statements (Past 3 months)Download Forms Prescreening For Charity Care Income VerificationPlease click here for Charity Income Guidelines. Contact Information Lynn Cowling (618) 262-8621 lcowling@wabashgeneral.com |
||||||||
| 1418 College Drive, Mt. Carmel, Illinois 62863, (618) 262-8621 | |||||||||