Southeast Health – Cape Girardeau MO

When paying via Payroll Deduction, your employer requires us to file a Payroll Deduction approval form with the hospital on your behalf. Please click below to download the form.

Download form

And then you can take a picture or scan the completed document and upload it below, or email it to forms@shoeroads.com.

Upload here

  • Accepted file types: pdf, jpg, Max. file size: 40 MB.