To obtain a printable PDF copy of our forms, please click the document name below:
North Jefferson County Ambulance District offers financial assistance to make healthcare affordable and accessible to members of the community. We also provide discounted and charity care for eligible individuals. If payment of your healthcare expenses could create a financial hardship for you, you may qualify for financial assistance.
Am I eligible?
How do I apply?
Complete the financial assistance application. Along with the application, you must submit all of the following documents that apply to you and your household;
Where do I send my completed application & documentation to?
Your application and documention can be sent the following ways;
North Jefferson County Ambulance District2820 Horrell LaneHigh Ridge, MO 63049