Clinic Staff

To apply for financial assistance at one of the rural health clinics, follow the directions below:

• Print the Financial Application (Download Here)

  • View the Sliding Fee Discount Schedule 

  • View the Sliding Fee Scale Policy

• Complete and sign the application.

• Return the application, along with copies of supporting documentation to the Patient Accounts Department. The application may either be delivered in person or sent by mail to: Chester Clinic, Attention: Patient Accounts, 2319 Old Plank Road, Chester, IL 62233

​

To apply for Financial Assistance at Memorial Hospital contact patient accounts at 618-826-4581 ext. 1249.

​

Financial Policy

Persons may be eligible for financial assistance with their medical bills under the terms and conditions Chester Clinic/Steeleville Family Practice offers to qualified patients (See our Financial Policy: English, Spanish). For more information, please contact the Patient Accounts Department at 618-826-2388 ext: 1484.

​

Privacy Policy

This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry our treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. (See our Privacy Policy)

​

Notice to Patients:

This practice serves all patients regardless of inability to pay. Discounts for essential services are offered based on family size and income. Thank you.

​

Aviso Para Pacientes:

Esta práctica sirve a todos los pacientes, independientemente de la incapacidad de pago. Desuentos para los servicios esenciales son ofrecidos dependiendo de tamaño de la familia y de los ingresos. Usted puede solicitar un descuento en la recepción o visita nuestro sitio web. Gracias.