Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by East Alabama Medical Center (East Alabama Health). Before sending anything sensitive, confirm the number and receiving department directly with East Alabama Medical Center (East Alabama Health), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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East Alabama Medical Center (East Alabama Health) fax number
(334) 528-2243
Wrong or outdated? Report this number
Medical Records / Release of Information
Used for: Authorization to disclose health information and records release requests to the Medical Records/ROI department
Fax destination details
- Department
- Medical Records / Release of Information
- Purpose
- Authorization to disclose health information and records release requests to the Medical Records/ROI department
- Form
- Authorization to Disclose Protected Health Information — Authorization to Disclose Protected Health Information
- Address
- 2000 Pepperell Parkway, Opelika, AL 36801
- Voice phone
- 334-528-2261
- 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.
Complete patient information, specify what records to release, and the purpose (e.g., personal, transfer, insurance). Choose delivery method (mail, email, or fax to ROI). Sign and date. Include a copy of photo ID. Submit via mail or fax to the ROI address or fax number listed.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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