Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Chicago Colorectal. Before sending anything sensitive, confirm the number and receiving department directly with Chicago Colorectal, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Chicago Colorectal fax number
(847) 759-8273
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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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