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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Fortis Behavioral Health. Before sending anything sensitive, confirm the number and receiving department directly with Fortis Behavioral 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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Fortis Behavioral Health fax number
(866) 885-3235
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Records Release / Disability Determination Services (SSA-36 NC DDS)
Used for: Medical records release to Disability Determination Services for SSA disability evaluation; ROI DDS
Fax destination details
- Department
- Records Release / Disability Determination Services (SSA-36 NC DDS)
- Purpose
- Medical records release to Disability Determination Services for SSA disability evaluation; ROI DDS
- Form
- Consent Form - ROI DDS Questionnaire — Consent Form - ROI DDS Questionnaire
- Address
- Fortis Behavioral Health, 220 Wintergreen Dr, Suite C, Lumberton, NC 28358-7502
- Voice phone
- (910) 536-1719
- 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.
Authorize Fortis Behavioral Health to release specified medical/educational records to SSA Disability Determination Services (NC DDS). Complete patient details, specify records to disclose (e.g., laboratory results, progress notes, evaluations, educational records), and fax to the provided ROI DDS Fax Number 866-885-3235.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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