Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with East Alabama Medical Center (East Alabama Health) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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East Alabama Medical Center (East Alabama Health) fax number

(334) 528-2243

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

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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