Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Florida Cancer Specialists & Research Institute before sending sensitive documents. FaxFlow is not affiliated with this organization.

Healthcarehigh confidence

Florida Cancer Specialists & Research Institute fax number

(877) 917-2336

Used for: Release of Information (ROI) requests / medical records submission and transfer (including imaging data and patient disclosures).

Fax destination details

Purpose
Release of Information (ROI) requests / medical records submission and transfer (including imaging data and patient disclosures).
Form
Release of Information Form — Release of Information Form
Address
9320 State Road 54, Trinity, FL 34655-1808
Voice phone
(727) 842-8411

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 and sign the Release of Information form, and attach a valid copy of your ID. You will receive a secured email with your signed document; save the PDF to send by fax or mail or deliver in person. Then choose your preferred delivery method to have Florida Cancer Specialists reply with the requested records.

Sources and verification

FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.

No public source link was saved with this record. Confirm the number directly with the organization before using it.