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Digestive Specialists, P.A. fax number

(936) 321-0032

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Gastroenterology

Used for: Medical records request / Authorization for Disclosure of Confidential Information

Fax destination details

Department
Gastroenterology
Purpose
Medical records request / Authorization for Disclosure of Confidential Information
Form
Authorization for Disclosure of Confidential Information — Authorization for Disclosure of Confidential Information
Address
111 Vision Park Blvd, Suite 150, The Woodlands, TX 77384
Voice phone
936-321-0033

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 in patient name, address, date of birth, and other identifying details; specify which records to release (e.g., Progress notes, Lab reports, X-ray reports, Pathology reports); indicate the recipient (Digestive Specialists, P.A.); sign and date; choose expiration (e.g., 180 days); submit by fax to 936-321-0032.

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

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