Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Fortis Behavioral Health before sending sensitive documents. FaxFlow is not affiliated with this organization.
Fortis Behavioral Health fax number
(866) 885-3235
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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