Goshen Health | Goshenhealth.com

Request for contact

If this is a medical emergency, please call 911 immediately. Please do not include personal medical information on this form.

We respect your privacy.

The information that you provide via this website will be strictly confidential and is intended only for the use of Goshen Health in providing care and services to you.

First Name (required):

Last Name (required):

Email (required):

Phone (required):

( ) -

Address:

City:

State:

ZIP:

What would you like to discuss? (required):

Captcha:

Enter security code:

Goshen Hospital

200 High Park Ave.
(Located off Main Street/State Road 15)
Goshen, IN 46526
(574) 364-1000

Emergency Services

Available 24/7 at Goshen Hospital.

Patient Financial Services/Financial Assistance

(574) 364-2420

Contact our Financial Advocate for information about financial assistance and payment plan options.

General Inquiries

Call (574) 364-1000 for general information.