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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Horizon Eye Care PA. Before sending anything sensitive, confirm the number and receiving department directly with Horizon Eye Care 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 Horizon Eye Care PA? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
Horizon Eye Care PA fax number
(704) 405-4093
Wrong or outdated? Report this number
HIPAA Officer (Privacy Officer)
Used for: Medical records release / release of protected health information (PHI); submission of Medical Records Release Form via fax
Fax destination details
- Department
- HIPAA Officer (Privacy Officer)
- Purpose
- Medical records release / release of protected health information (PHI); submission of Medical Records Release Form via fax
- Form
- Authorization/Release form — Medical Records Release Authorization Form
- Address
- 135 South Sharon Amity, Suite 100, Charlotte, NC 28211
- Voice phone
- 704-405-4108
- 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 out the Medical Records Release Authorization Form, sign and date, specify the PHI to be released and the recipient, then fax to 704-405-4093.
Official form instructions are published as a downloadable file on the organization's website.
Sources 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.