Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Baylor Scott & White Health before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Baylor Scott & White Health fax number

(979) 207-0613

Health Information Management (HIM) Department

Used for: Medical records release (Authorization for Release of Medical Information) requests to Baylor Scott & White Health.

Fax destination details

Department
Health Information Management (HIM) Department
Purpose
Medical records release (Authorization for Release of Medical Information) requests to Baylor Scott & White Health.
Form
BSWH-59809 (Rev. 03/24) - Authorization for Release of Medical Information — Authorization for Release of Medical Information (TO BSWH)
Voice phone
979-207-0616

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 name, date of birth, MRN; specify recipient and purpose (e.g., Continued Care); select records to release; sign and date; 180-day expiration; return to BSWH via Fax.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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