Family Information

Patient Information

Did you receive any financial aid from IREC last year? :

I certify that above information is correct to the best of my knowledge. If IREC found any discrepancy IREC has right to take legal action. IREC is not liable for any false statements.

NOTE: IREC does not support any CASH payment. Payment will be sent to hospital account directly. If further assistance needed contact local IREC office.