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Cumming Family Medicine fax number

(770) 887-4597

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Main Office

Used for: Sending medical records, referrals, and authorizations

Fax destination details

Department
Main Office
Purpose
Sending medical records, referrals, and authorizations
Form
Authorization to Release Healthcare Information — Authorization to Release Healthcare Information
Address
765 Lanier 400 Parkway, Cumming, GA 30040
Voice phone
770-205-1294

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, dates/conditions to release, recipient (Cumming Family Medicine), and sign/date; the authorization expires after 90 days.

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

Sources and verification

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