Financial Assistance Information

As part of its commitment to serve the community, Russellville Hospital will provide financial assistance to individuals who satisfy certain income and asset requirements.

Download here and complete the application within 10 days of your discharge.

Please return the completed application and the necessary documents to:


Russellville Hospital
Business Office
Attn: Financial Assistance Rep.
P.O. Box 1089
Russellville, AL 35653

(256) 332-8623

Monday - Friday
8 am - 4:30 pm