patient assistance
Financial assistance — applications and payment-plan support
808-935-2518
Published emailThe linked application explicitly accepts completed assistance forms and supporting documentation at this mailbox.
Published hoursNot published in this record
Confirm the exact product or service
Hawaii
Completed assistance application and supporting documents, as directed on the form.
The current webpage links a form with a 2024 footer on page 1 and 2025 footer on page 2. Confirm current documentation requirements with CLH. Financial assistance, self-pay discounts and payment plans have separate requirements.
View source ↗ · Source checked 2026-10-22 · Current financial-assistance and payment-plan information ↗
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