Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Hackensack University Medical Center (Hackensack Meridian Health) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Hackensack University Medical Center (Hackensack Meridian Health) fax number
(732) 361-9213
Health Information Department
Used for: Proxy access forms submission (MyChart proxy access for adults and minors).
Fax destination details
- Department
- Health Information Department
- Purpose
- Proxy access forms submission (MyChart proxy access for adults and minors).
- Form
- MyChart Adult CareGiver/Proxy Form — MyChart Adult CareGiver/Proxy Form
- Address
- 30 Prospect Ave, Hackensack, NJ 07601
- Voice phone
- 551-996-2074
- 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.
Complete the MyChart Adult CareGiver/Proxy Form and return to Hackensack Meridian Health Health Information Department at Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ 07601, or fax to 201-489-0591. For proxy access for minors, use the corresponding proxy form and follow the return instructions provided on the form.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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