Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Dothan Specialty Clinic PC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Dothan Specialty Clinic PC fax number
(334) 712-4280
Used for: Medical records release / authorization for disclosure of protected health information
Fax destination details
- Purpose
- Medical records release / authorization for disclosure of protected health information
- Form
- PHI release authorization — Patient Authorization for Use and/or Disclosure of Protected Health Information
- Address
- 4300 West Main Street, Suite 102, Dothan, AL 36305
- Voice phone
- 334-793-9564
- 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 information, describe the health information to be released or obtained, identify the recipient or facility, and specify an expiration date. Sign and date; the form may be faxed to the clinic's release fax number.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.