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Joe DiMaggio Children's Hospital fax number

(954) 265-3457

Health Information Management

Used for: Medical records requests / requests for copies of medical records

Fax destination details

Department
Health Information Management
Purpose
Medical records requests / requests for copies of medical records
Form
Medical Records Release Authorization — Medical Records Authorization Form
Address
3501 Johnson Street, Hollywood, FL 33021
Voice phone
954-265-5947

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 the medical records authorization form and fax it to 954-265-3457; for radiology films/reports use 954-265-0352. Include patient identifiers and a valid consent for release.

Review official form instructions

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