Financial Assistance

Klickitat Valley Health is committed to ensuring our patients get the medical care they need regardless of ability to pay for that care.

Financial Assistance Information

Providing health care to those who cannot afford to pay is part of our mission and state law requires hospitals to provide free and discounted care to eligible patients. You may qualify for free or discounted care based on family size and income, even if you have health insurance.

If you think you may have trouble paying for your health care, please talk with us. When possible, we encourage you to ask for financial help before receiving medical treatment.

All providers at KVH are covered by the District’s Financial Assistance Policy.

What Is Covered? For emergency and other appropriate hospital-based services at Klickitat Valley Health we provide free care and financial assistance/charity care to eligible patients for which Klickitat Valley Health does not expect to be reimbursed due to the patient inability to pay. This does not included elective service deemed not medically necessary.

How to Apply: Any patient may apply to receive financial assistance/charity care by submitting an application and providing supporting documentation. The application can be downloaded by clicking on the links to the right of this page. If you have questions or need help, please contact us:


If English is not your first language: Spanish translated versions of the application form and this summary are available upon request.

  • When you are checking in or checking out of the hospital
  • By telephone: (509) 772-2838
  • On our website at: kvhealth.net
  • In person: 310 S. Roosevelt, Goldendale, WA 98620
  • To obtain documents via mail free of charge: Contact Patient Financial Services at 509-772-2838 or via Email at billing@kvhealth.net

Other Assistance:

Coverage assistance: You may be eligible for other government and community programs. We can help you learn whether these programs (including Medicaid/Apple Health and Veterans Affairs benefits) can help cover your medical bills. We can help you apply for these programs.

Payment plans: Any balance for amounts owed by you is due within 30 days. The balance can be paid in any of the following ways: credit card, payment plan, cash, check, or online bill pay. If you need a payment plan, please call the number on your billing statement.

Emergency Care: Klickitat Valley Health has a dedicated emergency department and provides care for emergency medical conditions (as defined by the Emergency Medical Treatment and Labor Act) without discrimination consistent with available capabilities, without regard to whether or not a patient has the ability to pay or is eligible for financial assistance.

At Klickitat Valley Health, we are committed to your health and well being. We want to make sure you are able to receive the care you need, when you need it – without financial concerns standing in your way. That’s why we provide affordable financing options for eligible patients.


Forms For Assistance

(Please check your download folder if form does not automatically open)

Click here for Financial Assistance Application & Instructions

Click here for Financial Assistance Policy (Pre July 1, 2022)

Click here for Financial Assistance Policy (Effective July 1, 2022)

Click here for Property Tax Credit Forms

Click here for Bad Debt Policy

Click here for Collections Policy

Click here for Extraordinary Collections Policy

Click here for Financial Assistance (Plain Language Summary)

Frequently Asked Questions

Where do I go for billing questions?

We want your experience with us to be as easy and comfortable as possible, and financial services is no different. If you have billing or financing questions, Patient Financial Services can be reached at (509) 772-2838 or by email: billing@kvhealth.net. If you would prefer to speak with someone in person, visit us at our Patient Financial Services office, located at 711 East Collins, Goldendale, WA 98620.

Can I apply for financial assistance?

You can talk to someone in person at our Patient Financial Services offices Monday through Friday 8-4:30. Klickitat Valley Health Patient Financial Services is located in the on-campus building at 711 East Collins, adjacent to the main entrance of the hospital. Or, you can call (509) 772-2838.

I had one visit to the hospital, why am I receiving bills from other organizations?

You may receive billing statements from other entities, such as the ambulance service, that are a result of your visit to our hospital. These providers have their own billing and accounting procedures. If you receive a bill from them and have questions, please contact them directly.

Why do I have more than one bill from Klickitat Valley Health?

We use encounter based billing to help expedite the billing process. What that means is that if you are at the hospital for an outpatient procedure, then come back after a week for another service, you will have two encounters resulting in two accounts.

Why did my insurance send me two EOBs?

For certain services, like the emergency room, we must bill your insurance on a hospital claim for facility services and a doctor claim for the physician who evaluated and treated you, resulting in two claims and two subsequent Explanations of your Benefits.

Charity Care/Financial Assistance/Property Tax Application can be downloaded by ‘clicking’ on the Download Forms titles to your right.