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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by City of Hope National Medical Center. Before sending anything sensitive, confirm the number and receiving department directly with City of Hope National Medical Center, 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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City of Hope National Medical Center fax number
(626) 218-8443
Wrong or outdated? Report this number
Health Information Management Services (ROI)
Used for: Release of Information requests for medical records
Fax destination details
- Department
- Health Information Management Services (ROI)
- Purpose
- Release of Information requests for medical records
- Form
- PHI Authorization (Authorization to Use and Disclose Protected Health Information) — Authorization to Use and Disclose Your Protected Health Information
- Address
- 1500 East Duarte Road, Duarte, CA 91010
- Voice phone
- 626-218-2446
- 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.
Complete the PHI authorization form with patient identifying information, specify what records to release, who may receive them, purpose, and any expiration; submit via the City of Hope ROI fax number 626-218-8443 or follow the online/mail options listed by City of Hope.
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