Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with CVS Health Privacy Office before sending sensitive documents. FaxFlow is not affiliated with this organization.
CVS Health Privacy Office fax number
(401) 652-1593
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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