Who is applying

Let's get started! Please let us know who is submitting this application.

I am the applicant / I am not in my Provider's office

If you are a Healthcare Provider submitting the request, please click below. NOTE: You will need your Finance Your Care Provider ID.

Healthcare provider on behalf of the applicant

If you are the Applicant and you are applying from your Provider's office, click the bottom below. NOTE: You will need your Provider's ID number for Finance Your Care to continue.

I am the applicant / I am at my provider's office