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Available Forms

Application for Sponsorships (For Use with Financial Hardship only)

If you are having or expect to have difficulty with affording care at Gianna of Albany, this application is intended for submission to separate non-profit corporations or churches that may be able to assist you with the cost of your care if sponsorships are available. It may also be used in consideration of reduced fees or payment plans if possible by Gianna of Albany.

Number of persons in your household
Please describe briefly your reasons for requesting a sponsorship or for reduced fees.
* Required field