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PeaceHealth fax number

(360) 729-3047

Patient Financial Services

Used for: Submitting financial assistance applications and related patient financial documents (e.g., financial assistance forms) to PeaceHealth

Fax destination details

Department
Patient Financial Services
Purpose
Submitting financial assistance applications and related patient financial documents (e.g., financial assistance forms) to PeaceHealth
Form
Financial Assistance Application Form — PeaceHealth Financial Assistance Application
Address
PeaceHealth Patient Financial Services, PO Box 748632, Los Angeles, CA 90074-8632
Voice phone
877-202-3597

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Instructions for completing the PeaceHealth Financial Assistance Application, including required documentation and submission methods (mail, fax, email, or online).

Official form instructions are published as a downloadable file on the organization's website.

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