Parkland Self-Pay Charity Discount Program

The Self-Pay Charity Discount Program is for self-pay patients who do not qualify for another funding source. The level of discount is based on the Federal Poverty Income Level, Dallas County residency status and type of healthcare services provided.

You can read the full Self-Pay Charity Discount Policy or Self-Pay Charity Discount Policy (Spanish).

Under the discount program, medically necessary healthcare services are provided by Parkland without charge or at a discount to qualifying patients. Services eligible for the discount program include: 

• Emergency medical services provided in the emergency room
• Services provided in response to life-threatening circumstances
• Services for a condition which, if not promptly treated, would lead to an adverse change in the health status of a person
• Primary and preventive services and medical screenings
• Immunizations for flu and pneumonia
• Annual physical examinations
• Mammograms and pap smears every two years unless ordered more frequently
• Inpatient and outpatient hospital services provided at Parkland or at a facility with which Parkland has contracted
• Radiology and lab services at Parkland or a facility with which Parkland has contracted

In order to qualify, you must:

• Undergo a financial screening to determine eligibility
• Provide documents that show eligibility
• Apply for all other programs you may be eligible for
• Agree to make good faith payments at the time of service based on your ability to pay

Follow these steps to apply.

1. Please complete the application.


2. Gather the documents needed. Parkland requires proof of:
   • That you live in Dallas County (residency)
   • Valid photo identification (ID)
   • Income
   • Number of people in your household
   
   
3. Review a complete list of documents.


4. Return the completed application and copies of all documents. You can return the form and proof in any of the following ways:
By mail:
Patient Financial Services
5200 Harry Hines Blvd.
Dallas, TX 75235

Online: Go to Parkland MyChart.
Don't forget to attach application and proof of income.

In person:
Bring your renewal form and proof of income to a financial counselor Monday through Friday, 8 a.m. - 4 p.m.
Counselors are conveniently located at Parkland clinics throughout Dallas County.

Applying for the program does not guarantee approval. The Self-Pay Charity Discount Program is not health insurance. If you qualify for coverage through your employer or the Health Insurance Marketplace, you will need to enroll during those open enrollment periods.

There is no cost to enroll or complete a financial screening.

This program offers a discount to help pay for medically necessary services. The level of discount is based on the Federal Poverty Income Level, Dallas County residency status and type of visit (emergency or non-emergency care). The discount ranges from 65 to 90 percent. There is a limit for how much you must pay for emergency services. 

Patient Financial Services 214-590-4900
Monday – Friday
9 a.m. – 4 p.m.
2021 Medical District Drive
Dallas, TX 75235

Counselors are conveniently located at Parkland clinics throughout Dallas County.

Parkland provides translation services in 166 different languages.