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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

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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:

For questions regarding Goshen Surgery Center financial assistance or in-house payment agreements, please call (574) 364-4736 or (574) 364-4734.

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*Note: Some offices may require a provider referral to schedule an appointment.