We believe that everyone deserves access to healthcare, regardless of their financial situation.
That’s why we offer discount fees on a sliding scale to individuals and families who need help paying for medical care. No patient will be denied access to our medical services because of an inability to pay.
If you have questions or need help with one of the following forms, please feel free to contact us.
- Registration Form
- Information Release Form
- Atkinson Medical Records Request
- Burgaw Medical Records Request Form
- Maple Hill Medical Records Request
- HIPAA
- Patient Survey
Attention Medicare Patients
Black River Health Services participates in a Medicare Shared Savings Program Accountable Care Organization (ACO).
Please review the important information below about what this means for your care.
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