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Columbus Pediatric Associates, PC fax number
(706) 221-4620
Wrong or outdated? Report this number
Pediatrics
Used for: Authorization for release of health information / medical records requests
Fax destination details
- Department
- Pediatrics
- Purpose
- Authorization for release of health information / medical records requests
- Form
- Authorization for use / Release of Health Information — Authorization for use / Release of Health Information
- Address
- 500 Brookstone Centre Pkwy, Building-100, Columbus, GA 31904
- Voice phone
- 706-221-4602
- Website
- Visit organization website
Before you send
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Complete the entire form. Indicate which records to release, where to obtain or send records, and include patient details (name, DOB). Sign and date. The office notes a $5.00 charge for mailing records; copies to a parent may incur a fee after the first free copy; records typically take up to 2 weeks. If mailing, provide the recipient address and a contact number.
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