Medical Financial Assistance Program

FBHA is offering financial assistance to Fire/EMS/Dispatch personnel and their immediate family members to seek behavioral health assistance. This provision is for those that do not have insurance or are unable to pay the co-payments. FBHA will pay up to 10 co-pays or up to $300.00 per calendar year. If you are interested, please fill out the application form below and submit it, along with the proof of income documents to Karen Dill at or fax 888-788-5047. If you have questions, please contact Karen. All applications and documents will be kept confidential.

Applications will only be considered if all of the information is submitted in its entirety.