Step 1: Complete the application.
Download the Financial Assistance Application in the language you prefer (English, Spanish, and more).
Step 2: Gather documents.
Collect proof of income (for example, recent pay stubs or your most recent tax return).
Step 3: Send us your application and proof-of-income documents.
- Mail:
Patient Financial Assistance
Stanford Medicine Children’s Health
4700 Bohannon Drive, 2nd Floor
Menlo Park, CA 94025-9840 - Fax: (650) 497-8610
- Email: PFA@stanfordchildrens.org
- In person: Drop off at our Menlo Park office:
4700 Bohannon Drive, 2nd Floor
Menlo Park, CA 94025-9804
What happens next
We’ll review your application and send you a decision in writing. There is no time limit on applying for financial assistance.
Need help with the form?
Call (650) 736-2273 (CARE). Translation help, large print, and Braille are available at no cost.
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