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Edward-Elmhurst Health fax number
(331) 221-2704
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Financial Assistance Department
Used for: Submitting a Financial Assistance Application and supporting documents to Edward-Elmhurst Health.
Fax destination details
- Department
- Financial Assistance Department
- Purpose
- Submitting a Financial Assistance Application and supporting documents to Edward-Elmhurst Health.
- Form
- Financial Assistance Application — Financial Assistance Application
- Address
- Edward-Elmhurst Health Financial Assistance Dept, 4201 Winfield Rd, Warrenville, IL 60555
- Voice phone
- (847) 982-6957
- 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 with applicant and household information, income, residency, and documents. Include proof of Illinois residency and income (e.g., ID, utility bill, tax returns or pay stubs, bank statements). If uninsured, a Social Security Number is not required, though it may be needed for some programs. Sign the certification, and submit the application and supporting documents to Edward-Elmhurst Health Financial Assistance Dept via mail, or via email/patient portal as directed. The hospital will review the information and notify you of eligibility for free or discounted care and any payment plans.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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