I understand that the information, which I submit concerning my annual income, family size and assets, is subject to verification by Spectrum Health Lakeland. I also understand that if the information which I submit is determined to be false, such a determination may result in a rejection of this application, and that the balance owing is due and payable immediately.
Once you have completed the form please submit it below along with the other requested documents and a representative from Lakeland patient accounts will reach out to you once your application with supporting documentation is reviewed.
Forms and documentation can also be submitted by mailing to:
Spectrum Health Lakeland
Attn: Financial Counseling
1234 Napier Ave
St. Joseph, MI 49085
You may contact us by phone at 269.428.5007 or toll free 866.414.7572,
Monday through Friday, 8 a.m. to 5 p.m.