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University of Pennsylvania Health System Health Services Policy and ProcedureEffective: 070116 Page: 1 of 11Subject:Financial Assistance PolicyKeywords Free Care Uninsured Under insured Financial
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Begin by gathering all the necessary information such as personal details, medical history, and contact information.
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Read through the policy form carefully, understanding the terms and conditions.
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Start by providing your personal information including your full name, date of birth, and social security number, if required.
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Proceed to provide details about your current health status, any pre-existing conditions, or ongoing treatments.
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Next, add your emergency contact details, including the name, relationship, and phone number of the person to be contacted in case of emergency.
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Health services policy is needed by individuals who:
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- Seek financial assistance for health-related services
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