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Doylestown Hospital fax number

(215) 489-7235

Health Information Services Department / Medical Records Department

Used for: Release of patient medical records upon fax request

Fax destination details

Department
Health Information Services Department / Medical Records Department
Purpose
Release of patient medical records upon fax request
Form
Authorization to Release Medical Records — Authorization to Release Medical Records
Address
595 West State Street, Doylestown, PA 18901
Voice phone
215-345-2314

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 details, dates of information to be released, and recipient; specify records to release (entire record, meds, labs, etc.); sign and date; note expiration if any; return to Medical Records.

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

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