Help for Patients With Limited or No Ability to Pay

In keeping with Mercy Medical Center’s long-standing mission, we are committed to providing quality, compassionate care for all who come to us, regardless of ability to pay.

Plain Language Summary IRS 501 r

You may be eligible for financial assistance for your medical bill with Mercy Medical Center. Financial counselors are available in the admitting office Monday through Friday from 8 am to 4:30 pm.

To read Mercy’s Plain Language Summary, please click HERE.

To read Mercy’s full financial assistance policy, please click HERE.

To read Mercy’s full collection policy, please click HERE.

Application for Financial Assistance

If you need help paying for your medical bills or the medical bills of a loved one, please download, print and complete a financial statement:

Application for Assistance (English Version)


Application for Assistance (Spanish Version)


Return your completed form to:

Patient Financial Services
Mercy Medical Center
1320 Mercy Drive NW
Canton, OH 44708

If you have any questions, please call 330-489-1145 between 8 am and 4:25 pm, Monday through Friday.