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Trinity Health fax number

(312) 871-3350

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Enterprise Patient Financial Services

Used for: Submitting Financial Assistance applications and related documents to Trinity Health's Enterprise Patient Financial Services; fax to 312-871-3350.

Fax destination details

Department
Enterprise Patient Financial Services
Purpose
Submitting Financial Assistance applications and related documents to Trinity Health's Enterprise Patient Financial Services; fax to 312-871-3350.
Form
Financial Assistance Application — Confidential Application for Financial Assistance
Address
20555 Victor Parkway, Livonia, MI 48152
Voice phone
800-494-5797

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Provide required verifications (e.g., last month's gross income, last two months of bank statements, recent tax returns (1040 with schedules C/E/F) or three months of profit and loss for self-employed; attach W-2 if applicable); complete patient information; sign and date; submit within 10 days.

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