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 — Spanish (PDF)

Financial Assistance Policy — Translated languages

Financial Assistance Policy — Arabic (PDF)
Financial Assistance Policy — Bosnian (PDF)
Financial Assistance Policy — Chinese (PDF)
Financial Assistance Policy — French (PDF)
Financial Assistance Policy — German (PDF)
Financial Assistance Policy — Hindi (PDF)
Financial Assistance Policy — Hmong (PDF)
Financial Assistance Policy — Italian (PDF)
Financial Assistance Policy — Japanese (PDF)
Financial Assistance Policy — Khmer (PDF)
Financial Assistance Policy — Korean (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 — Chinese (PDF)
Plain Language Summary — French (PDF)
Plain Language Summary — German (PDF)
Plain Language Summary — Haitian Creole (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 — 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 — Hmong (PDF)
Amount Generally Billed — Japanese (PDF)
Amount Generally Billed — Khmer (PDF)
Amount Generally Billed — Korean (PDF)
Amount Generally Billed — Simplified Chinese (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 — Hmong (PDF)
Billing and Collection Policy — Italian (PDF)
Billing and Collection Policy — Japanese (PDF)
Billing and Collection Policy — Khmer (PDF)
Billing and Collection Policy — Korean (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 Lists — Translated languages

Provider Lists — Arabic (PDF)
Provider Lists — Bosnian (PDF)
Provider Lists — French (PDF)
Provider Lists — German (PDF)
Provider Lists — Hindi (PDF)
Provider Lists — Japanese (PDF)
Provider Lists — Khmer (PDF)
Provider Lists — Korean (PDF)
Provider Lists — Simplified Chinese (PDF)
Provider Lists — Polish (PDF)
Provider Lists — Portuguese (PDF)
Provider Lists — Russian (PDF)
Provider Lists — Spanish (PDF)
Provider Lists — Tagalog (PDF)
Provider Lists — Thai (PDF)
Provider Lists — Vietnamese (PDF)

Patient resources

If you have questions regarding your Mayo Clinic monthly statement or financial assistance, you may call Patient Account Services at 844-217-9591 (toll-free) or 507-266-0909 for international callers.

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