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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Garnet Health. Before sending anything sensitive, confirm the number and receiving department directly with Garnet 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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Garnet Health fax number

(845) 333-7139

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Used for: Medical records release / Authorization for Release of Information (ROI) requests

Fax destination details

Purpose
Medical records release / Authorization for Release of Information (ROI) requests
Form
HIPAA release form — Authorization for Release of Information
Address
707 E Main St, Middletown, NY 10940
Voice phone
845-333-7575

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Complete patient name, date of birth, description of information to be disclosed, and the recipient’s name and address; specify the purpose, date range, and delivery method; sign and date; if applicable, initial any restricted information (e.g., HIV/mental health). The form expires as indicated.

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