Heritage Valley Kennedy Charity Care

To see if our Heritage Valley Kennedy Cares Program can help you, please review the Charity Care Letter below. It lists the information you need to complete your Charity Care Application.

Once you have gathered the necessary information, please print and fill out the Charity Care Application below. In order to be considered for full assistance, please complete the application, sign the bottom, supply all requested documentation and return it to us within 14 days of receipt. All information is kept private and is used solely to process your application for the Heritage Valley Kennedy Cares Program.

Our Charity Care Application is a PDF form you may print, fill out, and mail to us at:

Heritage Valley Kennedy
Attention: Financial Counselor