Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with EMS Management & Consultants, Inc. (EMS|MC) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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EMS Management & Consultants, Inc. (EMS|MC) fax number

(336) 265-7744

Legal Department

Used for: Handles medical records requests and subpoenas for EMS providers via ChartSwap; processes HIPAA authorizations and records requests; contact EMS|MC for legal requests and use ChartSwap for submissions.

Fax destination details

Department
Legal Department
Purpose
Handles medical records requests and subpoenas for EMS providers via ChartSwap; processes HIPAA authorizations and records requests; contact EMS|MC for legal requests and use ChartSwap for submissions.
Form
HIPAA Release Form — HIPAA Release Form
Address
PO Box 863, Lewisville, NC 27023
Voice phone
+1-336-265-7744

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 the HIPAA authorization to release medical records, including patient identifying details, scope of release, and recipient; submit via ChartSwap or to EMS|MC as directed in the request.

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