Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with City of Hope National Medical Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
City of Hope National Medical Center fax number
(626) 218-8443
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.
Review official form instructionsSources 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.