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

Healthcarehigh confidence

Collaborative Natural Health Partners, LLC fax number

(866) 603-4163

Family Medicine

Used for: Authorization to release/receive confidential health information; medical records transfer and care coordination between providers.

Fax destination details

Department
Family Medicine
Purpose
Authorization to release/receive confidential health information; medical records transfer and care coordination between providers.
Form
Authorization To Release/To Receive Confidential Health Information
Address
315 East Center Street, Manchester, CT 06040
Voice phone
860-533-0179

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  • Check the organization website or call its main line for the current fax number.
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Form authorizes release/transfer of patient health information to Collaborative Natural Health Partners, LLC. Valid for 90 days from signing unless revoked; may involve charges for records; may require patient consent for certain protected information.

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

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