Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Main Line Health before sending sensitive documents. FaxFlow is not affiliated with this organization.
Main Line Health fax number
(484) 227-9005
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
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