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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Franciscan Health. Before sending anything sensitive, confirm the number and receiving department directly with Franciscan 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.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
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Franciscan Health fax number
(219) 845-7139
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Medical Records
Used for: Submitting requests for medical records and imaging; provider letterhead requests; release of information
Fax destination details
- Department
- Medical Records
- Purpose
- Submitting requests for medical records and imaging; provider letterhead requests; release of information
- Form
- Authorization form — Release of Information to Third Party Authorization Form
- Address
- 5454 Hohman Ave, Hammond, IN 46320
- Voice phone
- 219-932-2300
- 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.
Fill out the authorization form with patient identifying details, locations/records to be released, purpose, and expiration; sign and date; fax to 219-845-7139 or email MedicalRecords@FranciscanAlliance.org; fees may apply; expiration is typically 60 days unless otherwise specified
Review official form instructionsSources and verification
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