Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Capital OBGYN before sending sensitive documents. FaxFlow is not affiliated with this organization.
Capital OBGYN fax number
(916) 920-5709
Obstetrics and Gynecology (OB/GYN)
Used for: Release of Information / medical records requests
Fax destination details
- Department
- Obstetrics and Gynecology (OB/GYN)
- Purpose
- Release of Information / medical records requests
- Form
- Release of Information Authorization — Release of Information Authorization
- Address
- 77 Cadillac Dr., Suite 230, Sacramento, CA 95825; 2901 K Street, Suite 209, Sacramento, CA 95816; 8120 Timberlake Way, Suite 201, Sacramento, CA 95823
- Voice phone
- 916-920-2082
- 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.
- Keep the delivery confirmation with your submission records.
HIPAA-compliant release form to authorize disclosure of personal health information. Includes fields for who is authorized to receive info, who may request treatments, contact preferences (voicemail, email), any topics not to release, and patient signature with date.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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