Pharmacy Residency (PGY1)
Post Natal Nurse Home Visitor Program

Apply for Parkland Financial Assistance

New to PFA


If you have never applied for Parkland Financial Assistance (PFA) or it has been more than 6 months since your PFA expired and you would like to see if you qualify, follow these steps to apply.

Online:

Apply online here or through your Parkland MyChart by going to Menu>Billing>Parkland Financial Assistance.

By mail or in person:

  1. Please complete the application. (English/Spanish)
  2. Please complete the employment verification form. (English/Spanish)
  3. Please complete the asset form if you have Medicare. (English/Spanish)
  4. Please complete the verification of support form if someone else provides you financial or residency assistance. (English/Spanish).
  5. Gather the documents needed. Parkland requires:
    • Proof that you live in Dallas County (residency)
    • Valid photo identification (ID)
    • Proof of Income
    • Number of people in your household
  6. Review the required document list. (English/Spanish)
  7. Return the completed application and copies of all documents. You can return the forms the following ways:

Submit by mail:
Parkland Financial Assistance Application
Patient Financial Services
2021 Medical District Drive
Dallas, TX 75235

Submit in person:
Bring to the Patient Financial Services Office:
Monday - Friday | 8 a.m. - 4 p.m.

Parkland's financial counselors are conveniently located both near the hospital and in Parkland community health centers throughout Dallas County. See locations here: (English | Spanish).

Contact Patient Financial Services


214-590-8831
Monday – Friday
8 a.m. – 4:30 p.m.

Parkland Tower Garage
2021 Medical District Drive
Dallas, TX 75235

Parkland provides translation services in 166 different languages.