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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Alabama Department of Public Health, Wellness Program (Public Education Employees' Health Insurance Program - PEEHIP). Before sending anything sensitive, confirm the number and receiving department directly with Alabama Department of Public Health, Wellness Program (Public Education Employees' Health Insurance Program - PEEHIP), 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.
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Alabama Department of Public Health, Wellness Program (Public Education Employees' Health Insurance Program - PEEHIP) fax number
(844) 842-2954
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APDH Wellness Program (Wellness Division, Alabama Department of Public Health)
Used for: Disclosure of Protected Health Information (PHI) under HIPAA for PEEHIP Wellness forms (PHI disclosures such as PEEHIP Screening and Influenza Vaccine Form).
Fax destination details
- Department
- APDH Wellness Program (Wellness Division, Alabama Department of Public Health)
- Purpose
- Disclosure of Protected Health Information (PHI) under HIPAA for PEEHIP Wellness forms (PHI disclosures such as PEEHIP Screening and Influenza Vaccine Form).
- Form
- HIPAA Authorization — Authorization for Disclosure of Protected Health Information
- Address
- APDH Wellness Program, 201 Monroe Street, Suite 986, Montgomery, AL 36104
- Voice phone
- +1-334-206-9437; +1-844-842-2954
- 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 member name, date of birth, SSN (last four), and select the form requested (PEEHIP Screening or PEEHIP Influenza Vaccine Form). Indicate the recipient's name, telephone, and address. Specify expiration (default is 90 days if none provided) and sign/date. Send to APDH Wellness Program at 201 Monroe Street, Suite 986, Montgomery, AL 36104.
Official form instructions are published as a downloadable file on the organization's website.
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