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  1. Counselors are available by telephone to provide information, determine MFA eligibility, or help with the MFA application process. Counselors can be reached at 1-844-412-0919 Monday through Friday, 9:30 a.m. to 3:30 p.m. Eastern time. You can request program information by mail. Information requests can be mailed to: Kaiser Permanente MFA Program.

  2. For help or questions about the medical financial assistance application process, please call 866-399-7696, or speak to a financial counselor within the Admitting Department at any Kaiser Permanente hospital.

  3. Complete the MFA application on the following page. Fax your completed application to. 1-877-829-3547. Mail it. Complete the MFA application on the following page. Mail your completed application to: Kaiser Permanente MFA Program. 500 NE Multnomah St. Portland, OR 97232. Drop it off.

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