Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Chicago Colorectal before sending sensitive documents. FaxFlow is not affiliated with this organization.
Chicago Colorectal fax number
(847) 759-8273
Medical Records
Used for: Medical records release request; fax authorization form to release confidential health information to another party.
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records release request; fax authorization form to release confidential health information to another party.
- Form
- Authorization for Release of Confidential Health Information — Authorization for Release of Confidential Health Information
- Address
- 1550 N. Northwest Hwy, Suite 107, Park Ridge, IL 60068
- Voice phone
- (847) 759-1110
- 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.
Print, fill out, and sign the form; fax to (847) 759-8273. An online version is also available on the site for medical records release.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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