In two easy steps
Please select the name of the facility as it appears in Google Maps
You can upload a document (PDF), a photo of the bill, or an Explanation of Benefits from your insurer
This will help us recommend experienced care provided to other patients
We request that you omit sensitive data from bills, including your name, address and other personal information. By submitting your medical records, you are choosing to publicly share your protected health information, which is otherwise protected from disclosure by your health care provider under the Health Insurance Portability and Accountability Act.
You can add up the total costs of estimates or bills received
This picture will be used in your fundraiser. You can preview it before starting your fundraiser.
Why are you fundraising? The more detail the better to attract funders
we need to send you a text message to secure your account
Bill for the services of
A verification code has been sent to the phone number you provided Enter the verification code to verify your phone number and continue
Or Sign in