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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Acacia Family Medical Group. Before sending anything sensitive, confirm the number and receiving department directly with Acacia Family Medical Group, 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.
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Acacia Family Medical Group fax number
(831) 753-9717
Wrong or outdated? Report this number
Medical Records
Used for: Medical records release /PHI disclosure (Authorization for Release of Medical Records)
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records release /PHI disclosure (Authorization for Release of Medical Records)
- Form
- PATIENT AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION
- Address
- 400 East Romie Lane, Salinas, CA 93901; 8036 San Miguel Canyon Rd, Prunedale, CA 93907
- Voice phone
- 831-770-0123
- 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.
Fill patient/guardian name and contact; specify the records to be released, purpose (clinical care), expiration date, and signature; submit to Privacy Officer at 400 E. Romie Lane, Salinas, CA 93901.
Sources 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.