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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Harris Psychiatric Services, PLLC. Before sending anything sensitive, confirm the number and receiving department directly with Harris Psychiatric Services, PLLC, 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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Harris Psychiatric Services, PLLC fax number
(631) 265-3042
Wrong or outdated? Report this number
Psychiatry
Used for: PHI release and medical records requests
Fax destination details
- Department
- Psychiatry
- Purpose
- PHI release and medical records requests
- Form
- Standard Authorization of Use and Disclosure of Protected Health Information — Standard Authorization of Use and Disclosure of Protected Health Information
- Address
- 222 Middle Country Road, Suite 310, Smithtown, NY 11787
- Voice phone
- 631-265-1622
- 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 patient name, dates, recipient, description of information to be disclosed, and signature/date; then fax the completed form to 631-265-3042.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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