What documents do I need to apply for financial assistance?

You’ll need to provide copies of documents that verify your income, expenses and assets.

The exact documents that you’ll need to submit with your application depend on your income and household situation. Review our Financial Assistance Application for a list of required documents.  

If you start the application online through One Chart | Patient using the Nebraska Medicine app or web portal, you can save your progress and upload documents later.  

Please provide copies of the documents, not originals.  

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