Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with County of Santa Clara Health System before sending sensitive documents. FaxFlow is not affiliated with this organization.
County of Santa Clara Health System fax number
(408) 494-7848
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.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
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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