Application for Children's Minnesota Assistance (Charity Care)

Children’s Minnesota is here to assist you with your financial needs. We are committed to treating any child in need, regardless of their ability to pay. Our financial assistance policy provides eligible patients assistance with emergency or other medically necessary health care and services.

To begin the application process, make sure you have the names and birthdates of every family member that resides with you, as well as your monthly income and a copy of your most recent federal income tax return with schedules. Then complete and submit this form.

If you have questions or need assistance, call Financial Counseling at 612-813-6432.