Goshen Hospital
Please print, fill out and mail or fax your completed application to the address below for review and consideration.
Mail or fax the application below to:
Goshen Hospital
Attn: Financial Advocate
200 High Park Avenue
Goshen, IN 46526
Phone: (574) 364-2607
Fax: (574) 364-2436

Additional information
Goshen Physicians
Please print, fill out and mail or fax your completed application to the address below for review and consideration.
Mail or fax the application below to:
Goshen Physicians CPO
Attn: PFS
PO Box 834
Goshen, IN 46526
Phone: (574) 364-4727
Fax: (574) 364-2942
Goshen Surgery Center
Financial assistance is through Carecredit.com using either of the following options:
- Apply for Care Credit online
- Call (800) 365-8295
For questions regarding Goshen Surgery Center financial assistance or in-house payment agreements, please call (574) 364-4736 or (574) 364-4734.