Patient Financial Services
Patient Financial Advocate
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Financial Assistance Application
This form must be printed and completed with physical signature at Highland District Hospital OR sent to the following address.
Highland District Hospital
Attn: Patient Financial Services
1275 N High St
Hillsboro, OH 45133
Patient Cost Estimator
Disclaimer: You are not required to enter your personal information to obtain a price estimate. Any first and last name can be used in the “First Name” and “Last Name” fields on the “Personal Information” screen. The charges only include Highland District Hospital services and not professional fees from physicians and/or providers. The list price is not necessarily what the insurance company or the patient will pay. A single line item does not represent an entire medical service.