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Beth Israel Deaconess Medical Center fax number

(866) 710-0132

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Health Information Management (Medical Records)

Used for: PHI release request / medical records request

Fax destination details

Department
Health Information Management (Medical Records)
Purpose
PHI release request / medical records request
Form
Authorization to Release Protected Health Information (PHI) — Authorization to Release Protected Health Information
Address
Beth Israel Deaconess Medical Center, Health Information Management, Rabb Building, Basement, Room Rabb B014, 330 Brookline Ave, Boston, MA 02215, USA
Voice phone
617-667-3710

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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Fill out the Authorization to Release Protected Health Information; submit with a letter of request to BIDMC Health Information Management (Attn: Medical Records).

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