Financial Assistance Program

Eligibility

Cochran Memorial Hospital and Morton Rural Health Clinic offers reduced or no charge services for all emergency or other medically necessary care for individuals eligible under our Charity Care and Financial Assistance Policy, available below. The eligibility criteria is outlined in Section 2 of the County Indigent Health Care Program Handbook (CIHCP). Eligibility for Cochran County Indigent Healthcare is based on the County Indigent Health Care Program Monthly Income Standard as set forth in CIHCP and updated annually. The same forms are utilizied for charity care as set forth in the CIHCP for Indigent Health Care. Eligibility for charity care has been set at 200% of the Federal Poverty Guideline.

Eligibility

Important: We are unable to fax or electronically send records to individual patients; patients must pick their medical records up in person or request they be sent certified mail.

How to Access or Request Your Records

Online Access to Medical Records

The fastest way to access most of your medical records is to use the My Care Corner Patient Portal. The Patient Portal allows you access to your medical records on-demand any time you need them.


Access is sent through an email invitation only.
Please call us for more information on how to access your records online. (806) 266-5566
Hospital and Emergency Department Medical Records

Hospital and Emergency Department records include:

  • Inpatient stays
  • Observation stays
  • Custodial stays
  • Hospice/Respite care
  • Emergency Room visits
To request records you will need to print and complete the appropriate form below.

Records can be picked up in person or sent by certified mail. We will not send records by email or fax to individual patients.

You must bring a valid form of photo identification with you when picking up medical records. Acceptable form of identification include:
  • Driver's License
  • State Identification Card
  • Passport
We cannot accept copies or photographs of identification documents. All forms of identification must be in-date to be considered valid.
Morton Rural Health Clinic Medical Records

Morton Rural Health Clinic records include:

  • Office/Clinic visits
  • Laboratory
  • Radiology
  • Outpatient visits
To request records you will need to print and complete the appropriate form below.



Records can be picked up in person. We will not send records by email or fax to individual patients.

You must bring a valid form of photo identification with you when picking up medical records. Acceptable form of identification include:
  • Driver's License
  • State Identification Card
  • Passport
We cannot accept copies or photographs of identification documents. All forms of identification must be in-date to be considered valid.

Contact Us

Anna Honesto

Indigent Care Coordinator
Cochran Memorial Hospital

Phone: (806) 266-5566 ext 251




County Indigent Health Care Program Handbook