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Financial Assistance Documents Florida Hospital Lamont Submits to: Patient Financial Services 601 E. Lamont Drive Altamonte Springs, FL 32701 Phone: 4073030500 Fax: 4072004977 www.floridahospital.com/altamonteCmo

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How to fill out financial assistance documents

01

Step 1: Gather all necessary financial documents such as bank statements, tax returns, and pay stubs.

02

Step 2: Review the financial assistance application form and instructions carefully.

03

Step 3: Provide accurate and up-to-date information about your income, assets, and expenses.

04

Step 4: Attach any supporting documents required, such as proof of unemployment or medical bills.

05

Step 5: Double-check all the information filled in and ensure it is complete.

06

Step 6: Submit the filled-out financial assistance documents to the appropriate organization or institution.

07

Step 7: Follow up and provide any additional information or documentation if requested.

Who needs financial assistance documents?

01

Financial assistance documents are needed by individuals or families who are seeking financial aid or support.

02

This may include people experiencing financial hardship, unemployment, unexpected medical expenses, or those who qualify for specific government or non-profit assistance programs.

03

The exact requirements for financial assistance documents vary depending on the organization or program providing the aid.

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