Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Four Winds Hospitals before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Four Winds Hospitals fax number

(914) 763-0950

Medical Records / Health Information Management

Used for: Authorization for release of medical information (medical records requests).

Fax destination details

Department
Medical Records / Health Information Management
Purpose
Authorization for release of medical information (medical records requests).
Form
Authorization for Release of Information — Authorization for Release of Information
Address
800 Cross River Road, Katonah, NY 10536
Voice phone
914-763-8151

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 patient name, DOB, specify information to disclose, dates, recipient, and sign/date; fax to the facility.

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

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