Pomerene Hospital | The Premier Health Care Facility Holmes County Ohio
Source: https://www.pomerenehospital.org/financial-assistance-application
Archived: 2026-04-23 17:19
Pomerene Hospital | The Premier Health Care Facility Holmes County Ohio
Get in touch
330-674-1015
330-674-1015
330-674-1015
Pomerene
Financial Assistance Application
Below is the application for the HCAP and Pomerene Hospital Charity Care programs. Please complete all items as they pertained to your financial situation 3 months prior to date of service. In addition to the application, you must include all of the following documentation in order for your application to be processed. Holmes County residents will be screened for the Charity Care Program as well.
Financial Assistance Application
Visitor & Patients
Online Services
Main Campus
981 Wooster Road
Millersburg, Ohio 44654
(330) 674-1015
© 2026
All Rights Reserved | Pomerene Hospital
Website Optimized and Designed by
Bluefoot Digital Marketing Services
Share by:
Get in touch
330-674-1015
330-674-1015
330-674-1015
Pomerene
Financial Assistance Application
Below is the application for the HCAP and Pomerene Hospital Charity Care programs. Please complete all items as they pertained to your financial situation 3 months prior to date of service. In addition to the application, you must include all of the following documentation in order for your application to be processed. Holmes County residents will be screened for the Charity Care Program as well.
Financial Assistance Application
Visitor & Patients
Online Services
Main Campus
981 Wooster Road
Millersburg, Ohio 44654
(330) 674-1015
© 2026
All Rights Reserved | Pomerene Hospital
Website Optimized and Designed by
Bluefoot Digital Marketing Services
Share by: