How To Apply
If you cannot afford to pay your bill and you are uninsured, please call: 800-667-5185.
To download the application form, click here.
Please return the application within 30 days of receipt, so that we can place your bill on hold while we make our determination.
Based on your request and financial income, we will work with you to determine whether or not you qualify for our program. We will notify you whether or not you qualify for financial assistance from Mid America Clinical Laboratories and indicate what portion of the invoice has been credited. If you do not qualify, we will be happy to develop a convenient payment schedule for you.
If you have more questions, please contact a Billing Customer Service Representative at 800-667-5185.