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Bon Secours Diabetes and Endocrinology, St. Mary's fax number

(804) 282-7394

Endocrinology and Diabetes

Used for: Sending/receiving medical records, referrals, and care communications related to diabetes and endocrinology care.

Fax destination details

Department
Endocrinology and Diabetes
Purpose
Sending/receiving medical records, referrals, and care communications related to diabetes and endocrinology care.
Form
Release of Information / Medical Records Release Form — Release of Information (Authorization for Release of Medical Information)
Address
5899 Bremo Road, MOB West, Suite 202, Richmond, VA 23226
Voice phone
804-287-7570

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  • 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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Download the Release of Information form, fill it out, and fax or mail it to the facility as instructed on the form.

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