Patient Financial Services - United Hospital District - Fairmont Clinic
1950 Center Creek Drive, Fairmont, MN 56031
Eligibility
Open to all United Hospital District patients
Required documents
Health insurance card
Medical Assistance/Medical Assistance (MA)
Medicare
paycheck stubs
pension benefit statement
Social Security benefits statement letter
tax returns
unemployment history page/unemployment benefits
Hours
8 am - 4:30 pm Monday - Friday
(507)526-3273
Voice
Application process
- Call; visit online patient portal; visit website for financial assistance application form - Submit the financial assistance application form by mail (United Hospital District and Clinics Attention: Kathie Thom, PO Box 160 Blue Earth, MN 56013)
Service area
MN
Other Information
Program Fees
- No Fee
Patients who need to speak with a financial counselor, need cost of care estimates, or determine if they may qualify for financial assistance to pay for procedures, may reach out about options. Financial counselors can help individuals understand patients' responsibilities and may offer no-interest payment plans. Other options may include: Our Charity Care: Patients who are unable to pay for all or part of their health care services may apply for financial assistance by completing and returning this form. Patients and families who meet certain income requirements may qualify for free care or reduced-price care based on their family size and income, even if they have health insurance.
Last Assured
02/02/2026
Providing organization
United Hospital District - Fairmont Clinic
Primary medical care clinic