Gaylord Specialty Healthcare Financial Assistance

Gaylord Specialty Healthcare recognizes that all patients may not have the ability to pay for medically necessary health care.  Assistance is available to individuals that complete the required financial assistance application and meet eligibility requirements.  To request a financial assistance application please contact a patient financial services representative at (203) 284-2827 or print from the link below. Financial Assistance Applications are also available our Patient Registration, Patient Financial Services and Care Management departments. To submit your completed application please mail to:

Gaylord Hospital
Financial Assistance
50 Gaylord Farm Rd
Wallingford, CT  06492

Financial Assistance Application          Solicitud de Asistencia Financiera

In order to apply for financial assistance you must apply for Medicaid benefits.  Please contact the Department of Social Services at (855)-6-CONNECT or (855) 626-6632 or go to www.connect.ct.gov for application information. 

Financial Assistance Policy     Política de Asistencia Financiera

Financial Assistance in Plain Language     Política de Asistencia Financiera: Resumen en Lenguaje Sencillo