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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Hattiesburg Clinic, PA. Before sending anything sensitive, confirm the number and receiving department directly with Hattiesburg Clinic, PA, 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.
Represent Hattiesburg Clinic, PA? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
Hattiesburg Clinic, PA fax number
(601) 268-5767
Wrong or outdated? Report this number
Release of Information (ROIS)
Used for: Medical records request / Authorization for Disclosure of Medical Information
Fax destination details
- Department
- Release of Information (ROIS)
- Purpose
- Medical records request / Authorization for Disclosure of Medical Information
- Form
- Authorization for Disclosure of Medical Information — Authorization for Disclosure of Medical Information
- Address
- 415 South 28th Avenue, Hattiesburg, MS 39401
- Voice phone
- 601-579-5276
- 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 all fields; sign and date; fax to ROIS at 601-268-5767; if faxed, full payment for medical record copies is required before obtaining records.
Review official form instructionsSources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.