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John Muir Health fax number

(925) 947-3235

Health Information Management

Used for: Medical records requests and authorization to disclose protected health information (HIPAA).

Fax destination details

Department
Health Information Management
Purpose
Medical records requests and authorization to disclose protected health information (HIPAA).
Form
Authorization for Use or Disclosure of Protected Health Information — Authorization for Use or Disclosure of Protected Health Information
Address
5003 Commercial Circle, Concord, CA 94520
Voice phone
925-947-5373

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 Authorization form; submit by fax to (925) 947-3235, or via email or MyChart; mail or hand-deliver to John Muir Health Health Information Management Department at 5003 Commercial Circle, Concord, CA 94520.

Official form instructions are published as a downloadable file on the organization's website.

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