Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Adirondack Radiology Associates, PC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Adirondack Radiology Associates, PC fax number
(518) 615-0390
North Country
Used for: Medical records release and PHI requests to obtain imaging, reports, or laboratory results from the Adirondack Radiology North Country facility.
Fax destination details
- Department
- North Country
- Purpose
- Medical records release and PHI requests to obtain imaging, reports, or laboratory results from the Adirondack Radiology North Country facility.
- Form
- Outside Image Release (PHI Release Authorization) — Release to Obtain Protected Health Information from Outside Facility
- Address
- 170 Carey Road, Queensbury, NY 12804
- Voice phone
- 518-793-1000
- 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.
Complete patient details, authorize the release of PHI (radiology images, written reports, laboratory reports) to Adirondack Radiology North Country; sign and date the form; provide the outside facility information.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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