INVESTORS CAREERS CONTACT US LOGIN MyPay PRODUCTS, SERVICES & THERAPIES PATIENTS OUR COMPANY Patient Assistance Program Patient Financial Assistance Program InfuSystem offers financial assistance to individuals who meet our eligibility requirements. Patients may be required to apply for financial assistance by completing our Financial Assistance Application. We will also honor any uninsured or financial assistance discount that your healthcare provider offers. We require a copy of the award or approval letter to apply the discount. Patient Financial Assistance Application Please ensure to complete all required information to the best of your ability. This information is confidential and is only used for the purpose of determining your discount. If you do not meet the income guidelines for the assistance program but are having difficulty paying your entire balance you may be eligible for a payment plan. Mail Completed Application to: InfuSystem Patient Services 3851 W. Hamlin Rd. Rochester Hills, MI 48309 PATIENT FINANCIAL ASSISTANCE APPLICATION PATIENT FINANCIAL ASSISTANCE APPLICATION – ENGLISH PATIENT FINANCIAL ASSISTANCE APPLICATION – SPANISH For more information contact our Patient Services Department at 1-833-570-4737. We are available to assist you Monday-Friday from 8am-5pm ET. Quick Links Billing & Insurance Patient Resources How Can We Help? Select Subject Oncology Pain Management Wound Therapy Billing Question Patient Assistance SUBMIT For assistance, please contact our Patient Services Department at 1-833-570-4737. Products Infusion Pump Sales & Rental Infusion Pump Financing Disposable Products Equipment Catalog Services Biomedical Services On-site Service Depot Service DeviceHub SM Therapies Oncology Pain Management Negative Pressure Wound Therapy Patients Patient Resources Oncology Pain Management Negative Pressure Wound Therapy Billing & Insurance Patient Assistance Our Company About Us COVID-19 Statement Our Leadership Life at InfuSystem Careers News & Events Contact Us .st0{fill:#7B868C;} .st1{fill:#0977BE;} 3851 W. Hamlin Rd Rochester Hills, MI 48309 P: 1-800-962-9656 F: 1-800-455-4338 General Inquires info@infusystem.com #infusystemlife © 2021 InfuSystem®. All Rights Reserved. Privacy & HIPAA Terms & Conditions Site Map