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CHI St. Luke's Health fax number

(713) 610-2965

Eligibility and Enrollment Services (MC 5-366)

Used for: Submit the Financial Assistance Application and supporting income verification for CHI St. Luke's Health Financial Assistance.

Fax destination details

Department
Eligibility and Enrollment Services (MC 5-366)
Purpose
Submit the Financial Assistance Application and supporting income verification for CHI St. Luke's Health Financial Assistance.
Form
application — Financial Assistance Application
Address
P.O. Box 20269, Houston, TX 77225-0269
Voice phone
844-490-1247

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Complete the CHI St. Luke's Health Financial Assistance Application and provide required income verification as described in the policy.

Review official form instructions

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