Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Co-Pay Relief Program (COPAYS.ORG), a program of Patient Advocate Foundation before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Co-Pay Relief Program (COPAYS.ORG), a program of Patient Advocate Foundation fax number

(757) 952-0119

Co-Pay Relief Program

Used for: Submitting income verification documents and applications for assistance to the Co-Pay Relief Program; documents may be faxed using the program's fax line and a bar-coded coversheet.

Fax destination details

Department
Co-Pay Relief Program
Purpose
Submitting income verification documents and applications for assistance to the Co-Pay Relief Program; documents may be faxed using the program's fax line and a bar-coded coversheet.
Address
421 Butler Farm Road, Hampton, VA 23666
Voice phone
1-866-512-3861

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Submit required income documentation and program application materials per CPR instructions (e.g., tax returns, income verification). Use the bar-coded fax coversheet when faxing to 757-952-0119.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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No public source link was saved with this record. Confirm the number directly with the organization before using it.