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Financial assistance


NKC Health values our relationship with our patients. We serve all patients, including those who do not have health insurance coverage or who cannot pay for all or part of emergency or medically necessary services. Our Patient Financial Services teams can help you understand the billing and insurance process, apply for financial assistance if you qualify, and set up payment plans.

Financial Assistance Applications and our Financial Assistance Policy are free. You can get copies of each in-person, online or by mail.

  • IN-PERSON: Obtain an application at any one of the check-in areas or in Financial Services (Cashier), 2nd Floor 2800 (via the East entrance)
  • ONLINE: Download the application form below.
  • MAIL: Request an application be mailed to you by calling the Patient Financial Services department at (816) 691-1100.

Contact us

To speak with a member of our Patient Financial Services team, call (816) 691-1100, Monday-Friday, 8 a.m.- 4:30 p.m.

NKC Health Financial Assistance Application Forms

NKC Health Financial Assistance Application – ENGLISH 
NKC Health Financial Assistance Application – SPANISH 
NKC Health Financial Assistance Application – VIETNAMESE

NKC Health Financial Assistance Application Instructions – ENGLISH 
NKC Health Financial Assistance Application Instructions – SPANISH 
NKC Health Financial Assistance Application Instructions – VIETNAMESE

NKC Health Financial Assistance Information

NKC Health Plain Language Summary – ENGLISH 
NKC Health Plain Language Summary– SPANISH 
NKC Health Plain Language Summary – VIETNAMESE

NKC Health Financial Assistance Policy – ENGLISH 
NKC Health Financial Assistance Policy – SPANISH  
NKC Health Financial Assistance Policy – VIETNAMESE

NKC Health Billing and Collections Policy – ENGLISH 
NKC Health Billing and Collections Policy – SPANISH 
NKC Health Billing and Collections Policy – VIETNAMESE

NKC Health Amounts Generally Billed (AGB) Document – ENGLISH 
NKC Health Amounts Generally Billed (AGB) Document – SPANISH 
NKC Health Amounts Generally Billed (AGB) Document – VIETNAMESE

We understand that circumstances may sometimes make it difficult for you to pay your balance due in full. Special arrangements must be made with our office to make monthly payments on an account. We must receive a payment from you each month. Past due accounts older than 60 days may be referred to our collection agency.

How to set up payment plans

Call NKC Health Patient Financial Services at (816) 691-1100 to make monthly payment arrangements. All accounts must be paid in full within 4 months.

Community Resources

We've provided a list of community resources to help our patients who are uninsured or seek assistance with mental health, drug/alcohol abuse, and smoking cessation programs. The list also includes information on healthy eating, weight loss and exercise.