Skip to the content
x
  • Find a Doctor
  • Locations
  • Services
    • Addiction Medicine
    • Audiology
    • Auxiliary & Volunteers
    • Bariatric Surgery
    • Cardiology
    • Ear, Nose, and Throat
    • Emergency Medicine
    • Endocrinology
    • Eye Care
    • Family Medicine
    • Gastroenterology
    • Home Health
    • Inpatient Rehabilitation
    • Internal Medicine
    • Laboratory
    • Medication Management
    • Nephrology
    • Neurology
    • Nutritional Services
    • Occupational Health
    • Oncology
    • Orthopedics
    • Pain Management
    • Pastoral & Spiritual Care
    • Pediatric Therapy
    • Pediatrics
    • Pharmacy
    • Physical & Occupational Therapy
    • Plastic Surgery
    • Pulmonology
    • Radiology
    • Sleep Medicine
    • Speech Therapy
    • Sports Medicine
    • Tobacco Cessation
    • Urology
    • Vascular & Endovascular Medicine
    • Walk-In Clinic
    • Women’s Health
    • Wound Care
  • Careers
    • Careers for Physicians and APPs
    • Employment
    • Travel Staffing
    • Volunteer
  • Contact Us

QUICK LINKS

  • About Us
  • Volunteer
  • MyChart
  • Health Library
  • Give Today
  • Your Bill
Avita Health System
  • Find a Doctor
  • MyChart
  • Your Bill
  • Careers
    • Careers for Physicians and APPs
    • Employment
    • Travel Staffing
    • Volunteer
  • Contact Us

Services

Addiction Recovery
Audiology
Auxiliary & Volunteers
Bariatric Surgery
Cardiology
Ear, Nose, & Throat
Emergency Medicine
Endocrinology
Eye Care
Family Medicine
Gastroenterology
Home Health
Infectious Disease
Inpatient Rehabilitation
Internal Medicine
Laboratory
Medication Management
Nephrology
Neurology
Nutrition
OB/GYN
Occupational Health
Oncology
Orthopedics
Pastoral & Spiritual Care
Pain Management
Pediatrics
Pediatric Therapy
Pharmacy
Physical & Occupational Therapy
Plastic & Reconstructive Surgery
Pulmonology
Radiology
Sleep Medicine
Speech Therapy
Sports Medicine
Tobacco Cessation
Urology
Vascular
Walk-in Clinic
Women’s Health
Wound Care
Facebook Twitter LinkedIn Instagram

Actions

  • Find a Doctor
  • Pay Your Bill
  • Personalized Estimates
  • Sponsorship Request
  • Nominate a Nurse
  • Nominate an Employee
  • Volunteer

News

  • Avita Today
  • Health Library
  • Press Releases

About Avita

  • Locations
  • Executive Leadership
  • Careers
  • Employee Resources

Information

  • Accepted Insurance
  • Collection Policy
  • Contact Us
  • Financial Assistance Summary
  • Privacy Policy
  • Privacy Practices
  • Protections Against Surprise Billing

About Life. About You.

© 2023 Avita Health System. All Rights Reserved.

Avita Health System is an equal opportunity provider.

Download Financial Aid Application and Instructions

Please print the completed application, sign page 1, and return it to the address on the bottom of page 1.

English

Application
Instructions

Spanish

Application
Instructions

Chinese

Application
Instructions

Collection Policy

Select a language to download a PDF of our collection policy:
English
Spanish
Chinese

Financial Assistance Summary

Select a language to download a PDF of our financial assistance summary:
English
Spanish
Chinese