Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Banner Health Clinic Orthopedic Surgery before sending sensitive documents. FaxFlow is not affiliated with this organization.
Banner Health Clinic Orthopedic Surgery fax number
(480) 543-6725
Orthopedic Surgery
Used for: Medical records transfer/requests; patient communications
Fax destination details
- Department
- Orthopedic Surgery
- Purpose
- Medical records transfer/requests; patient communications
- Form
- Authorization for Release of Protected Health Information (PHI) — Authorization to Use or Disclose Protected Health Information
- Address
- 1920 N Higley Rd, Ste 206, Gilbert, AZ 85234-1624
- Voice phone
- 480-543-6700
- 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.
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Complete with patient name, date of birth, dates of service, records to release, and recipient; sign and date. If you refuse, the release may be restricted.
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