Financial Assistance Documents — Florida campus

English Versions

• Financial Assistance Application (PDF)
• Financial Assistance Policy (PDF)
• Plain Language Summary (PDF)
• Amount Generally Billed (PDF)
• Billing and Collection Policy (PDF)
• Outside Provider Lists (PDF)

Financial Assistance Application — Translated languages

• Financial Assistance Application — Arabic (PDF)
• Financial Assistance Application — Bosnian (PDF)
• Financial Assistance Application — French (PDF)
• Financial Assistance Application — Simplified Chinese (PDF)
• Financial Assistance Application — Portuguese (PDF)
• Financial Assistance Application — Russian (PDF)
• Financial Assistance Application — Spanish (PDF)
• Financial Assistance Application — Tagalog (PDF)
• Financial Assistance Application — Vietnamese (PDF)

Financial Assistance Policy — Translated languages

• Financial Assistance Policy — Arabic (PDF)
• Financial Assistance Policy — Bosnian (PDF)
• Financial Assistance Policy — Chinese (PDF)
• Financial Assistance Policy — French (PDF)
• Financial Assistance Policy — Portuguese (PDF)
• Financial Assistance Policy — Russian (PDF)
• Financial Assistance Policy — Spanish (PDF)
• Financial Assistance Policy — Tagalog (PDF)
• Financial Assistance Policy — Vietnamese (PDF)

Plain Language Summary — Translated languages

• Plain Language Summary — Arabic (PDF)
• Plain Language Summary — Bosnian (PDF)
• Plain Language Summary — Chinese (PDF)
• Plain Language Summary — French (PDF)
• Plain Language Summary — Portuguese (PDF)
• Plain Language Summary — Russian (PDF)
• Plain Language Summary — Spanish (PDF)
• Plain Language Summary — Tagalog (PDF)
• Plain Language Summary — Vietnamese (PDF)

Amount Generally Billed — Translated languages

• Amount Generally Billed — Arabic (PDF)
• Amount Generally Billed — Bosnian (PDF)
• Amount Generally Billed — French (PDF)
• Amount Generally Billed — Simplified Chinese (PDF)
• Amount Generally Billed — Portuguese (PDF)
• Amount Generally Billed — Russian (PDF)
• Amount Generally Billed — Spanish (PDF)
• Amount Generally Billed — Tagalog (PDF)
• Amount Generally Billed — Vietnamese (PDF)

Billing and Collection Policy — Translated languages

• Billing and Collection Policy — Arabic (PDF)
• Billing and Collection Policy — Bosnian (PDF)
• Billing and Collection Policy — French (PDF)
• Billing and Collection Policy — Simplified Chinese (PDF)
• Billing and Collection Policy — Portuguese (PDF)
• Billing and Collection Policy — Russian (PDF)
• Billing and Collection Policy — Spanish (PDF)
• Billing and Collection Policy — Tagalog (PDF)
• Billing and Collection Policy — Vietnamese (PDF)

Provider Lists — Translated languages

• Provider Lists — Arabic (PDF)
• Provider Lists — Bosnian (PDF)
• Provider Lists — French (PDF)
• Provider Lists — Simplified Chinese (PDF)
• Provider Lists — Portuguese (PDF)
• Provider Lists — Russian (PDF)
• Provider Lists — Spanish (PDF)
• Provider Lists — Tagalog (PDF)
• Provider Lists — Vietnamese (PDF)

Patient resources

If you have questions regarding your Mayo Clinic monthly statement or financial assistance, you may call Patient Account Services at 844-217-9591 (toll-free) or 507-266-0909 for international callers. The TDD line is 904-953-2300.