PATIENT FINANCIAL SERVICES: Lindsay Combs, Patient Financial Advocate 937.840.6512
For assistance with financing medications, with the option of searching by diagnosis:
To complete a Medicaid application online:
Financial Assistance Application
Click Here to Download Application
This form must be printed and completed with physical signature at Highland District Hospital
OR
Print and complete the form with physical signature and send to:
Highland District Hospital
Attn: Patient Financial Services
1275 N. High Street
Hillsboro, Ohio 45133