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Eye Surgery Associates Florida fax number

(954) 217-3156

Ophthalmology

Used for: Medical records release / patient forms submission (faxed to the Weston location).

Fax destination details

Department
Ophthalmology
Purpose
Medical records release / patient forms submission (faxed to the Weston location).
Form
Medical Records Release / HIPAA authorization — Medical Records Release Form
Address
2300 N. Commerce Parkway, Suite 307, Weston, FL 33326
Voice phone
954-217-3155

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.

Submit a signed Medical Records Release form to the Weston location; include patient full name, date of birth, and the intended recipient; authorization to disclose protected health information may be required.

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

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