Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Healthfirst before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Healthfirst fax number

(212) 801-3250

Healthfirst Member Services

Used for: Health records request and authorization for sharing PHI

Fax destination details

Department
Healthfirst Member Services
Purpose
Health records request and authorization for sharing PHI
Form
PHI Authorization Form — Authorization to Release Protected Health Information (PHI) Form
Address
Healthfirst Member Services, P.O. Box 5165, New York, NY 10275-0308
Voice phone
1-844-347-5816

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 and sign the form and return by mail, fax, or email to Healthfirst; specify the recipient and PHI types to share.

Review official form instructions

Sources and verification

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