Financial Assistance Program Applications in both Spanish and English, as well as information and paperwork for financial assistance applications for Porter Medical Center and/or University of Vermont are found in the links below. If you are a patient of the Open Door Clinic, we can help you fill out the necessary forms. Please call 802-388-0137 or 802-779-4828 for further assistance.
As of January 1, 2025, the application is the same for both. To obtain these documents in Spanish, scroll down to the very bottom of the English page where it is located, past the list of medical providers they share. There you will find the necessary forms and information in Spanish (and other languages).
Information and paperwork for financial assistance applications for the hospitals we work with most frequently are found in the links below. As of January 1, 2025, the application is the same for both. To obtain these documents in Spanish, scroll down to the very bottom of the English page where it is located, past the list of medical providers they share. There you will find the necessary forms and information in Spanish (and other languages).
Financial Assistance Application for:
English Financial Assistance Program Application
Spanish Financial Assistance Program Application
Patient Financial Services Information
