Financial Assistance Application

Please click the link below to access the Stanford Medicine Children's Health Financial Assistance Application, in your preferred language:

Customer Service

Phone: (800) 308-3285

Mail Your Completed Application To:
Patient Financial Assistance
Stanford Medicine Children’s Health
4700 Bohannon Dr. #270
Menlo Park, CA 94025-9840

Fax: (650) 497-8610 or Email: PFA@stanfordchildrens.org

Paper copies can be obtained by reaching our Financial Assistance Department at (650) 736-2273. Pick up forms in-person at our office located at:
4700 Bohannon Drive
Suite 270
Menlo Park, CA 94025-9804