Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Christian Hospital before sending sensitive documents. FaxFlow is not affiliated with this organization.
Christian Hospital fax number
(314) 653-4154
Release of Information (ROI)
Used for: Medical records release requests (ROI); Authorization for Release of Protected Health Information
Fax destination details
- Department
- Release of Information (ROI)
- Purpose
- Medical records release requests (ROI); Authorization for Release of Protected Health Information
- Form
- Authorization for Release of Information — Authorization for Release of Information
- Address
- 11133 Dunn Road, St. Louis, MO 63136
- Voice phone
- 314-653-5113
- 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.
Fill patient identifiers, select records to release, specify release recipient, sign and date; follow the fields shown on the ROI form (dates of treatment, purpose, contact details, etc.), then fax to the number listed on the form.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.