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Deaconess Financial Assistance (Baptist Health Deaconess) fax number
(812) 450-5261
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Financial Assistance
Used for: Submission and processing of the Financial Assistance Application for patients seeking charity care or cost relief.
Fax destination details
- Department
- Financial Assistance
- Purpose
- Submission and processing of the Financial Assistance Application for patients seeking charity care or cost relief.
- Form
- F-4513 Financial Assistance Application — Financial Assistance Application
- Address
- PO Box 3366, Evansville, IN 47732
- Voice phone
- 812-450-3435
- Website
- Visit organization website
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Complete the Financial Assistance Application with required income/household information and supporting documentation, then submit to Deaconess Financial Assistance. Processing typically takes 10–14 days. For submission options: mail to PO Box 3366, Evansville, IN 47732; fax to 812-450-5261; or email Financial.Assistance@deaconess.com; for questions, call 812-450-3435.
Official form instructions are published as a downloadable file on the organization's website.
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