Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with CNOS before sending sensitive documents. FaxFlow is not affiliated with this organization.

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CNOS fax number

(605) 217-2922

Orthopaedics / Orthopaedic Urgent Care

Used for: Medical records exchange and referrals related to CNOS Dakota Dunes; includes authorization to release health information (PHI).

Fax destination details

Department
Orthopaedics / Orthopaedic Urgent Care
Purpose
Medical records exchange and referrals related to CNOS Dakota Dunes; includes authorization to release health information (PHI).
Form
Authorization for Release of Information (Health Information) — Authorization for Release of Information
Address
575 Sioux Point Road, Dakota Dunes, SD 57049
Voice phone
605-217-2667

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 name, date of birth, and recipient; indicate what information is to be released; specify records to be released; choose delivery method; sign and date. The form expires one year from the date signed; you may revoke in writing; PHI may be re-disclosed; there may be a fee for requested records in SD.

Official form instructions are published as a downloadable file on the organization's website.

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