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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by The Assistance Fund. Before sending anything sensitive, confirm the number and receiving department directly with The Assistance Fund, 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 The Assistance Fund? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
The Assistance Fund fax number
(833) 789-1228
Wrong or outdated? Report this number
Patient Enrollment and Financial Assistance
Used for: Provides financial assistance for prescription co-pays and other health-related expenses through disease-program-specific funding; enrollment can be online or via paper application (paper forms available by request).
Fax destination details
- Department
- Patient Enrollment and Financial Assistance
- Purpose
- Provides financial assistance for prescription co-pays and other health-related expenses through disease-program-specific funding; enrollment can be online or via paper application (paper forms available by request).
- Form
- Enrollment form (online via Patient Portal) and paper enrollment form (requestable by phone). — Enrollment Application
- Address
- 8427 Southpark Circle, Suite 100, Orlando, FL 32819, USA
- Voice phone
- (855) 845-3663
- 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.
Submit a completed enrollment application with required HIPAA release; wait for status; reenrollment occurs annually; paper applications available by request. See TAFCares enrollment hub and provider PDFs for details.
Review official form instructionsSources 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.