Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Columbus Pediatric Associates, PC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Columbus Pediatric Associates, PC fax number
(706) 221-4620
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
- 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 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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