Lake Ridge Ambulatory Surgery Center

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/ Patient Information / Financial Assistance Policy

Financial Assistance Policy

At Lake Ridge Ambulatory Surgery Center and Sentara Hospital Facilities, we provide quality care to all patients regardless of their ability to pay. We understand that health care expenses are often unexpected and paying for services can be overwhelming. If you cannot pay your hospital bill for medically necessary care, we can help. Please contact us at the telephone number below to see if you are eligible for financial assistance. Each patient’s situation is evaluated according to relevant circumstances such as income, assets or other resources available to pay an outstanding balance.

The complete financial assistance policy (FAP), along with an application for financial assistance, can be found below. Paper copies are also available at the surgery center’s patient registration area and will be mailed free-of-charge to a patient upon request.

Requests by phone: 703-357-9568

Requests by mail: Lake Ridge Ambulatory Surgery Center, LLC
ATTN: Business Office Manager
12825 Minnieville Road, Suite 204
Woodbridge, Virginia  22192

Spanish
Hay traducciones en español de la política de ayuda financiera de Sentara y de la solicitud disponibles en el sitio web o llamando al número de teléfono más arriba.

Korean
Sentara 재정 지원 정책 및 신청을 웹사이트에서 한국어로 이용하실 수 있으며 또는 위의 번호로 전화하셔서 이용하실 수 있습니다.

Vietnamese
Bản dịch của Chính sách hỗ trợ tài chính Sentara và đơn đăng ký bằng tiếng Việt có trên trang web hoặc bằng cách gọi tới số điện thoại ở trên.

English versions and translations of the FAP, the application for financial assistance, and the FAP Plain Language Summary are available below:

FAP Documents (English)

  1. Financial Assistance Policy Plain Language Summary
  2. Financial Assistance Policy
  3. Application for Financial Assistance
  4. Financial Assistance Signature Page

FAP Documents (Spanish)

  1. Resumen en lenguaje sencillo de la política de ayuda financiera
  2. Política de ayuda financiera
  3. Ayuda financiera
  4. Solicitud de ayuda financiera

FAP Documents (Korean)

  1. 재정 지원 정책 간단 요약
  2. 재정 지원 정책
  3. 재정 지원 신청서
  4. 재정 지원

FAP Documents (Vietnamese)

  1. Bản tóm tắt ngôn ngữ thông thường chính sách hỗ trợ tài chính
  2. Chính sách Hỗ trợ Tài chính
  3. Đơn xin hỗ trợ tài chính
  4. Hỗ trợ Tài chính
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© Copyright 2021 Lake Ridge Ambulatory Surgery Center · All Rights Reserved | 12825 Minnieville Road, Suite 204 | Woodbridge, VA 22192 |
(703) 357-9568