Patient & Visitor Information

RGH Financial Assistance Program

If you need help with your hospital bill and you do not qualify or have been denied by the County for the Indigent Program, you may apply for the RGH Financial Assistance Program.

Guidelines for RGH Financial Assistance Program:

1. Residents who present proof of living in Roosevelt County.

2. Residents who meet Income Criteria as follows:

Monthly Guidelines

RGH Financial Assistance Program Application Forms:

Financial Assistance Required Information

RGH Financial Assistance/Signature Form

RGH Financial Assistance/Signature Form - Spanish

For more information contact:

Roosevelt General Hospital
42121 US Hwy 70
Portales, NM 88130
Phone: 575.359.1800 and select Option 1
Fax: 575.356.9200