Forms and Brochures
Click on the links below to download these helpful forms and brochures:
Accident questionnaire (English / Spanish)
Conditions of Services (English)
Conditions of Services (Spanish)
Conditions of Services (German)
Conditions of Services (Creole)
Financial assistance application (English)
Financial assistance application (Spanish)
Financial assistance application (German)
Financial assistance application (Creole)
Financial assistance plain language summary
Lee Health System, Inc. Financial Assistance Policy (FAP - English)
Lee Health System, Inc. Financial Assistance Policy (FAP - Spanish)
Lee Health System, Inc. Financial Assistance Policy (FAP - German)
Lee Health System, Inc. Financial Assistance Policy (FAP - Creole)