Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by CVS Health Privacy Office. Before sending anything sensitive, confirm the number and receiving department directly with CVS Health Privacy Office, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
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CVS Health Privacy Office fax number
(401) 652-1593
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Privacy Office
Used for: PHI disclosure requests and patient prescription record releases under HIPAA
Fax destination details
- Department
- Privacy Office
- Purpose
- PHI disclosure requests and patient prescription record releases under HIPAA
- Form
- Authorization for Disclosure of Protected Health Information (PHI) — CVS Pharmacy Disclosure Authorization Form
- Address
- 1 CVS Drive, Woonsocket, RI 02895
- Voice phone
- 1-833-533-0768
- 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.
Fill patient name, date of birth, address; specify recipient; sign and date; fax completed form to 401-652-1593 to request PHI disclosures.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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