Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Holyoke Pediatric Associates, LLP before sending sensitive documents. FaxFlow is not affiliated with this organization.
Holyoke Pediatric Associates, LLP fax number
(413) 536-1087
Pediatrics
Used for: Medical records release/transfer
Fax destination details
- Department
- Pediatrics
- Purpose
- Medical records release/transfer
- Form
- Authorization for Release of Medical Records — Authorization for the Release of Medical Records
- Address
- 150 Lower Westfield Rd, Holyoke, MA 01040-2767
- Voice phone
- 413-536-2393
- 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.
Fill patient demographics; specify the recipient organization and purpose; choose whether to release the entire record or a time-limited portion; sign and date; the form is valid for 12 months.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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