Step 1

JPS Health Network is working to improve our financial screening process. The new process will be easier and faster for our patients. It will also allow us to screen and notify applicants in a matter of a few days, not weeks.

Please download and complete the application packet below, as well as the 4506-T form below.

  1. Download the 4506-T Request for Transcript of Tax Return
  2. Download an Application Packet in English or Download an Application Packet in Spanish




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