Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Cleveland Clinic Marymount Hospital before sending sensitive documents. FaxFlow is not affiliated with this organization.
Cleveland Clinic Marymount Hospital fax number
(216) 587-8043
Health Information Management / Medical Records
Used for: Release of medical information / medical records (release of information requests)
Fax destination details
- Department
- Health Information Management / Medical Records
- Purpose
- Release of medical information / medical records (release of information requests)
- Form
- Authorization for Release of Protected Health Information — Authorization for Release of Protected Health Information
- Address
- Marymount Hospital, 12300 McCracken Road, Garfield Heights, OH 44125
- Voice phone
- 216-581-0500
- 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 details, indicate what information to release, specify the recipient (Cleveland Clinic/ Marymount Hospital), include dates of service, sign and date. Attach a copy of ID if required. Submit via the facility's ROI process; fax to 216-587-8043 or follow the instructions on the official form.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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