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University of Maryland Medical System (UMMS) fax number

(410) 630-5341

Financial Assistance Department

Used for: Submit the UMMS Financial Assistance Application Form to request financial help for hospital care.

Fax destination details

Department
Financial Assistance Department
Purpose
Submit the UMMS Financial Assistance Application Form to request financial help for hospital care.
Form
Financial Assistance Application Form — Financial Assistance Application
Address
11311 McCormick Road, Suite 230, Hunt Valley, MD 21031
Voice phone
410-821-4140

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.

Include: your most recent Federal income tax return; your most recent pay stubs or other evidence of income; proof of disability or Social Security income (if applicable); a Medical Assistance Notice of Determination (if applicable); and documentation of housing costs (e.g., mortgage or rent bill). You can fax the completed application to 410-630-5341 or mail it to the Financial Assistance Department at 11311 McCormick Road, Suite 230, Hunt Valley, MD 21031.

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