Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with DMV Allergy & Asthma Center before sending sensitive documents. FaxFlow is not affiliated with this organization.

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DMV Allergy & Asthma Center fax number

(240) 817-0812

Allergy & Immunology

Used for: Medical records release / release of medical information; faxing records and communications between patient and clinician

Fax destination details

Department
Allergy & Immunology
Purpose
Medical records release / release of medical information; faxing records and communications between patient and clinician
Form
Privacy/Authorization Form — HIPAA Privacy Authorization Form
Address
112 Thomas Johnson Dr, Suite 210, Frederick, MD 21702
Voice phone
(240) 817-0810

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.

Complete patient information, recipient details, and the scope of information to be released; sign and date. Submit via fax to the center's fax line (240-817-0812) or as directed by the office.

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

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