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Patient Information

Patient Rights 

Goodall-Witcher Healthcare does not discriminate against any person on the basis of race, color, national origin, disability, or age in admission, treatment, or participation in its programs, services and activities, or in employment. For additional information about this policy, contact: Gena Speer at 254-675-8322 ext. 7821.

New Patient Forms

The following forms are required for all new patients. You may complete them prior to your appointment and bring them with you or complete them at your scheduled visit.

Patient Financial Assistance

Healthcare billing can be complex and daunting. Explanations that made sense a week ago may not be relevant today. Our professional staff members pride themselves on being able to provide the most current information about Medicare, Medicaid, and private insurance coverage policies to our patients. We are here to help our patients navigate this complex world in any way we can, whether it is making sure that  insurance plans process claims correctly or arranging for payment plans to meet patient needs.

As part of its commitment to exceptional community care, Goodall-Witcher Healthcare provides financial assistance to patients who meet certain eligibility requirements. This includes patients who do not have health insurance and are unable to pay their hospital bill as well as patients who have health insurance but are unable to pay their portion of the hospital bill after insurance pays.

Our financial aid policies reflect Goodall-Witcher Healthcare’s dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations.

Help is available by completing a financial assistance application. Once completed, the application and documents can be emailed to Karla Rodriguez; faxed to 254-675-8007, or mailed to P.O. Box 549, Clifton, TX 76634. Required documents MUST accompany application, or it cannot be processed.

Overview of Financial Assistance

Financial Assistance Application (English)

Financial Assistance Application (Spanish)

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