APPLICATION FOR PARKLAND FINANCIAL ASSISTANCE AND SELF-PAY CHARITY DISCOUNT PROGRAM
Welcome to the Application Portal for Parkland Financial Assistance
The Parkland Financial Assistance Program is for patients without medical insurance living in Dallas County
New Application
Click the button below to begin an application for Parkland Financial Assistance
After the application has been submitted, you will also be able to upload required proof documents. Parkland requires proof of residency (Dallas County), a valid photo identification, and the number of people in your household.
Send Documents
If you submitted a Parkland Financial Assistance application less than 30 days ago, you can click below to upload any remaining proof documents that are required.
After the application has been submitted, you will also be able to upload required proof documents. Parkland requires proof of residency (Dallas County), a valid photo identification, and the number of people in your household.