Patient Forms & Information

Financial Assistance Documents

Help Paying Your Bill: Link to page
Financial Assistance Application:  English  Spanish (Español)
Policy Summary:  English  Spanish (Español)
Financial Assistance Policy:  English 
Billing and Collections Policy:  English 
Hospital Charges: Link to page

List of Providers

List of Providers - None follow SARH financial assistance policy July 2025:  English  Spanish (Español)

No Surprise Act

No Surprise Act Notice - (For Commercial Insurance Only):  Link to page for English & Spanish (Español)

Good Faith Estimate

Good Faith Estimate Notice - (For Self Pay Only):  Link to page for English  Spanish (Español)

Patient Information

My Health Record Brochure:  English  Spanish (Español)
Your Right to Make Decisions About Medial Treatment:  English  Spanish (Español)
Patient Rights:  English  Spanish (Español)
Notice of Privacy Practices:  English  Spanish (Español)
Advance Directive Forms: Link to page
Medical Records: Link to page
Patient Portal: Link to page If you are registering for the first time and need assistance please e-mail [email protected].