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Kelsey-Seybold Clinic fax number
(713) 442-2804
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Medical Records Department
Used for: Release of healthcare information / Medical records request (Release of Information)
Fax destination details
- Department
- Medical Records Department
- Purpose
- Release of healthcare information / Medical records request (Release of Information)
- Form
- ROI_5.2024 — Authorization for Release of Healthcare Information
- Address
- Medical Records Department, 560 Meyerland Plaza Mall, Meyerland, TX 77096
- Voice phone
- 713-442-5700
- 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 ROI form, select documents to disclose (e.g., complete record, immunization, history & physical, lab reports, etc.), indicate purpose (Continuity of Care, Legal, Financial/Benefits), specify recipient/submission method, sign and date; submit via encrypted email to ROI@Kelsey-Seybold.com, secure fax to 713-442-2804, or mail to Medical Records Department.
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