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County of Santa Clara Health System fax number
(408) 494-7848
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Patient Access Department
Used for: Submission and processing of the Financial Assistance Application for hospital services; FAA and supporting documents are faxed or emailed for evaluation.
Fax destination details
- Department
- Patient Access Department
- Purpose
- Submission and processing of the Financial Assistance Application for hospital services; FAA and supporting documents are faxed or emailed for evaluation.
- Form
- Financial Assistance Application — FINANCIAL ASSISTANCE APPLICATION FOR PATIENTS
- Address
- 770 S Bascom Ave, San Jose, CA 95128
- Voice phone
- 1-408-494-7850
- Website
- Visit organization website
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.
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Complete the Financial Assistance Application for Patients and return it with required verifying documents by mail, fax (1-408-494-7848), or secure email to FinancialAssistance@hhs.sccgov.org; include proof of income, identity, and residency; see the notice for deadlines.
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