A  A  A

Online Financial Assistance Application

Bayhealth is committed to providing affordable care for our patients. For your convenience we have attached a copy of our financial assistance application. Please make sure to complete the application in its entirety and return it with the required supporting documentation to our Billing Support offices at: 522 South State St, Dover, DE 19901, or 21 West Clarke Ave, Milford, DE 19963.

Incomplete applications will be returned for additional information.