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VCU Health fax number

(804) 828-2029

VCU Health Public Benefits Department

Used for: Submitting the Financial Assistance Application and related documents to VCU Health Public Benefits Department; they review eligibility for indigent care and State/Federal assistance programs and may issue an approval letter if approved.

Fax destination details

Department
VCU Health Public Benefits Department
Purpose
Submitting the Financial Assistance Application and related documents to VCU Health Public Benefits Department; they review eligibility for indigent care and State/Federal assistance programs and may issue an approval letter if approved.
Form
Financial assistance application (English/Spanish) — Financial Assistance Application
Voice phone
804-828-0966

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Required items to apply: 1) Copy of a valid driver’s license or state-issued ID for you and your spouse, or other proof of residency; 2) Your financial statement; 3) Proof of income for the last three full months (e.g., pay stubs, W-2, welfare benefit letter, Social Security letter, etc.). Additional assets verification may be required. You may apply online via the MyChart portal or mail/fax the forms to the VCU Health Public Benefits Department; they may request additional information if needed.

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

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