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Community Care Physicians fax number

(518) 383-1662

Family Practice Clifton Park

Used for: New patient registration and medical records transfer (HIPAA authorization to send records)

Fax destination details

Department
Family Practice Clifton Park
Purpose
New patient registration and medical records transfer (HIPAA authorization to send records)
Form
Adult New Patient Packet — FPCP-Adult-New-Patient-Packet-Nov-2024
Address
Family Practice Clifton Park, 939 Route 146, Suite 700, Clifton Park, NY 12065-3646
Voice phone
(518) 383-0891

Before you send

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  • 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.

Includes patient registration details and a HIPAA authorization to send/receive medical records; fill patient info, consents, and sign as required.

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

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