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

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Bournewood Health Systems fax number

(857) 354-3339

Health Information Services (HIS) Department

Used for: Medical records requests / authorization for release of health information

Fax destination details

Department
Health Information Services (HIS) Department
Purpose
Medical records requests / authorization for release of health information
Form
Authorization to Release Health Information — Authorization to Release Health Information (BHS-0020)
Address
300 South St., Brookline, MA 02467
Voice phone
617-676-3355

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.

Authorization forms may be mailed or faxed to the Health Information Services department but not sent electronically.

Review official form instructions

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