Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Main Line Health. Before sending anything sensitive, confirm the number and receiving department directly with Main Line Health, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
Represent Main Line Health? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
Main Line Health fax number
(484) 227-9005
Wrong or outdated? Report this number
Financial Counseling / Financial Assistance Office
Used for: Submission of Main Line Health Financial Assistance Application (Schedule C) and income verification.
Fax destination details
- Department
- Financial Counseling / Financial Assistance Office
- Purpose
- Submission of Main Line Health Financial Assistance Application (Schedule C) and income verification.
- Form
- MLH Financial Assistance Application (Schedule C) — Main Line Health Financial Assistance Application
- Address
- 3803 West Chester Pike, Suite 160, Newtown Square, PA 19073
- Voice phone
- 484-337-1970
- 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 MLH Financial Assistance Application and attach income verification (e.g., IRS Form 1040 with applicable schedules, W-2s). See Schedule C English instructions for details.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.