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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Aviva Health. Before sending anything sensitive, confirm the number and receiving department directly with Aviva Health, 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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Aviva Health fax number
(844) 870-1183
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Privacy Office
Used for: Authorization to release protected healthcare information (PHI) to another healthcare provider or entity
Fax destination details
- Department
- Privacy Office
- Purpose
- Authorization to release protected healthcare information (PHI) to another healthcare provider or entity
- Form
- Authorization to Release Protected Healthcare Information — Authorization to Release Protected Healthcare Information
- Address
- 150 NE Kenneth Ford Drive, Roseburg, OR 97470
- Voice phone
- 541-672-9596
- 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 information and recipient details, specify which records to release (all records or select items), sign and date; if the patient is a minor, additional signatures may be required; the authorization remains valid for 12 months.
Official form instructions are published as a downloadable file on the organization's website.
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.