Children’s Hospital Los Angeles recognizes that many people in our community require medically necessary health care services, but are uninsured, underinsured, ineligible for government health programs or otherwise without adequate financial resources to pay for health care services.
CHLA is committed, to the extent of its financial ability, to make medically necessary services available for those not able to pay. To manage its resources responsibly and to allow CHLA to provide the appropriate level of assistance to those in need, CHLA has adopted the following guidelines for the provision of Charity Care and Discounted Care.
Financial Assistance Policy
Plain Language Guide
How to Apply for Financial Assistance
In order for us to consider your account for financial assistance, you must complete, sign and return the application for uncompensated care.
Please include all documents as requested on the application and a copy of your ID.
You will need to provide:
- Bank statements for the past 3 months
- Copy of last 3 months’ pay stubs
- Copy of last year’s tax return
- Rental receipt or proof of monthly mortgage payment
- Copy of any government benefits being received
If you are unemployed and have no source of income, please send us a detailed letter from the person who is providing you with free room and board. They will not be responsible for your bills.
Your Application for Uncompensated Care will not be evaluated if the requested information is not provided or not thoroughly completed.
If you have any questions regarding this application, please contact us at 800-404-6627. We are available to assist you Mondays through Fridays from 8 a.m. to 5 p.m.
Return your completed application and attachments to:
Children’s Hospital Los Angeles
Patient Business Services
4650 Sunset Blvd., #26
Los Angeles, CA 90027
Application in Other Languages
Updated Aug. 11, 2022