Print Financial Assistance Documents — Arizona campus English versions Financial Assistance Application (PDF) Financial Assistance Policy (PDF) Plain Language Summary (PDF) Amount Generally Billed (PDF) Billing and Collection Policy (PDF) Outside Provider List (PDF) Financial Assistance Application — Translated languages Financial Assistance Application — Arabic (PDF) Financial Assistance Application — Bosnian/Serbo-Croatian (PDF) Financial Assistance Application — French (PDF) Financial Assistance Application — German (PDF) Financial Assistance Application — Hindi (PDF) Financial Assistance Application — Italian (PDF) Financial Assistance Application — Japanese (PDF) Financial Assistance Application — Khmer (PDF) Financial Assistance Application — Korean (PDF) Financial Assistance Application — Mandarin Chinese (PDF) Financial Assistance Application — Navajo (PDF) Financial Assistance Application — Persian (PDF) Financial Assistance Application — Polish (PDF) Financial Assistance Application — Portuguese (PDF) Financial Assistance Application — Russian (PDF) Financial Assistance Application — Spanish (PDF) Financial Assistance Application — Tagalog (PDF) Financial Assistance Application — Thai (PDF) Financial Assistance Application — Vietnamese (PDF) Financial Assistance Policy — Translated languages Financial Assistance Policy — Arabic (PDF) Financial Assistance Policy — Bosnian (PDF) Financial Assistance Policy — French (PDF) Financial Assistance Policy — German (PDF) Financial Assistance Policy — Hindi (PDF) Financial Assistance Policy — Italian (PDF) Financial Assistance Policy — Japanese (PDF) Financial Assistance Policy — Khmer (PDF) Financial Assistance Policy — Korean (PDF) Financial Assistance Policy — Mandarin Chinese (PDF) Financial Assistance Policy — Navajo (PDF) Financial Assistance Policy — Persian (PDF) Financial Assistance Policy — Polish (PDF) Financial Assistance Policy — Portuguese (PDF) Financial Assistance Policy — Russian (PDF) Financial Assistance Policy — Spanish (PDF) Financial Assistance Policy — Tagalog (PDF) Financial Assistance Policy — Thai (PDF) Financial Assistance Policy — Vietnamese (PDF) Plain Language Summary — Translated languages Plain Language Summary — Arabic (PDF) Plain Language Summary — Bosnian (PDF) Plain Language Summary — French (PDF) Plain Language Summary — German (PDF) Plain Language Summary — Hindi (PDF) Plain Language Summary — Italian (PDF) Plain Language Summary — Japanese (PDF) Plain Language Summary — Khmer (PDF) Plain Language Summary — Korean (PDF) Plain Language Summary — Mandarin Chinese (PDF) Plain Language Summary — Navajo (PDF) Plain Language Summary — Persian (PDF) Plain Language Summary — Polish (PDF) Plain Language Summary — Portuguese (PDF) Plain Language Summary — Russian (PDF) Plain Language Summary — Spanish (PDF) Plain Language Summary — Tagalog (PDF) Plain Language Summary — Thai (PDF) Plain Language Summary — Vietnamese (PDF) Amount Generally Billed — Translated languages Amount Generally Billed — Arabic (PDF) Amount Generally Billed — Bosnian (PDF) Amount Generally Billed — French (PDF) Amount Generally Billed — German (PDF) Amount Generally Billed — Hindi (PDF) Amount Generally Billed — Italian (PDF) Amount Generally Billed — Japanese (PDF) Amount Generally Billed — Khmer (PDF) Amount Generally Billed — Korean (PDF) Amount Generally Billed — Mandarin Chinese (PDF) Amount Generally Billed — Navajo (PDF) Amount Generally Billed — Persian (PDF) Amount Generally Billed — Polish (PDF) Amount Generally Billed — Portuguese (PDF) Amount Generally Billed — Russian (PDF) Amount Generally Billed — Spanish (PDF) Amount Generally Billed — Tagalog (PDF) Amount Generally Billed — Thai (PDF) Amount Generally Billed — Vietnamese (PDF) Billing and Collection Policy — Translated languages Billing and Collection Policy — Arabic (PDF) Billing and Collection Policy — Bosnian (PDF) Billing and Collection Policy — French (PDF) Billing and Collection Policy — German (PDF) Billing and Collection Policy — Hindi (PDF) Billing and Collection Policy — Japanese (PDF) Billing and Collection Policy — Khmer (PDF) Billing and Collection Policy — Korean (PDF) Billing and Collection Policy — Mandarin Chinese (PDF) Billing and Collection Policy — Persian (PDF) Billing and Collection Policy — Polish (PDF) Billing and Collection Policy — Portuguese (PDF) Billing and Collection Policy — Russian (PDF) Billing and Collection Policy — Spanish (PDF) Billing and Collection Policy — Tagalog (PDF) Billing and Collection Policy — Thai (PDF) Billing and Collection Policy — Vietnamese (PDF) Provider List — Translated languages Provider List — Arabic (PDF) Provider List — Bosnian (PDF) Provider List — French (PDF) Provider List — German (PDF) Provider List — Hindi (PDF) Provider List — Italian (PDF) Provider List — Japanese (PDF) Provider List — Khmer (PDF) Provider List — Korean (PDF) Provider List — Mandarin Chinese (PDF) Provider List — Navajo (PDF) Provider List — Persian (PDF) Provider List — Polish (PDF) Provider List — Portuguese (PDF) Provider List — Russian (PDF) Provider List — Spanish (PDF) Provider List — Tagalog (PDF) Provider List — Thai (PDF) Provider List — Vietnamese (PDF) Patient resourcesIf you have questions regarding your Mayo Clinic monthly statement or financial assistance, please call Patient Account Services at 844-217-9591 (toll-free) or 504-266-0909 (international patients). The TDD line is 602-301-7683. Feb. 28, 2020 ART-20203260