HOSPITAL

(701) 284-7500

CLINIC

(701) 284-7555

Resources

Documents & Forms

Discover FCHC's guides, release forms, insurance information, and other materials to enhance your patient experience. Get assistance with your healthcare needs today.

Insurance & Assistance

It is very important to us that financial obligations are not worrying our patients and restricting their ability to put their care first.

The following resources are designed to assist your need for financial assistance:

Medicaid

Medicaid is a primary source of insurance for low-income and disadvantaged individuals. To receive Medicaid, you must submit an application and any additional information as requested. To complete an application, you may apply online at applyforhelp.nd.gov or contact your local Human Service Zone office. The Northern Valley Human Service Zone phone number (serving Walsh, Pembina, and Cavalier Counties) is 701-265-8441.

For more information on Medicaid Expansion

Children's Health Insurance Program / Healthy Steps

The State of North Dakota has an assistance program for working families with children that do not qualify for Medicaid but still cannot afford insurance. To complete an application, you can apply online at or contact the local Social Services office. Northern Valley Human Service Zone office’s number is 701-265-8441. Eligibility is based on income and children’s age.

Insurance Marketplace

The Affordable Care Act has established an online marketplace for individuals to apply for health insurance. The 2024 Open Enrollment period has ended. However, special enrollments are still available due to certain life changes. Otherwise, 2025 enrollment begins November 1, 2024. You can apply online at www.healthcare.gov or by contacting the Social Services Department at First Care Health Center by calling 701-284-4611.

Financial Assistance

The State of North Dakota has an assistance program for working families with children that do not qualify for Medicaid but still cannot afford insurance. To complete an application, you can apply online at or contact the local Social Services office. Northern Valley Human Service Zone office’s number is 701-265-8441. Eligibility is based on income and children’s age.

NOTICE TO PATIENTS:

First Care Health Center serves all patients regardless of ability to pay.

There is a discounted/sliding fee schedule available based on family size and income.

Download FCHC Financial Assistance Policy

Download Financial Assistance Application Instructions

Download Application for Financial Assistance

Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities. 

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Please click on the link below to review this notice.

FCHC's Notice of Privacy Practices

Pricing Transparency

In accordance with CMS Guidelines, Section X of CMS-1694-F, the below is a list of our current standard charges in a machine readable format. For an accurate estimation of charges related to your specific situation, please contact our Health Information Services Department at (701) 284-7500.

FCHC Pricing Transparency Standard Charges
The link below gives patients the ability to use the MyChart Patient Estimates shoppable services feature.

MyChart - Patient Estimates