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

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Charlotte Community Health Clinic fax number

(704) 384-1974

Used for: Medical records requests / release forms

Fax destination details

Purpose
Medical records requests / release forms
Form
Medical records release form — Fillable Medical Release Form (CCHC to other clinic or self)
Address
8401 Medical Plaza Dr., Suite 300, Charlotte, NC 28262
Voice phone
(704) 316-6561

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 out patient identifiers, specify the records to release, recipient, and dates; sign and date before sending the fax.

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

Sources and verification

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