Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Lahey Hospital & Medical Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
Lahey Hospital & Medical Center fax number
(781) 744-1164
Medical Records / Release of Information
Used for: Medical records release / disclosure via fax
Fax destination details
- Department
- Medical Records / Release of Information
- Purpose
- Medical records release / disclosure via fax
- Form
- Authorization form — Authorization For Use or Disclosure of Medical Record Information
- Address
- 41 Mall Road, Burlington, MA 01805
- Voice phone
- 781-744-5100
- 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 in patient information, specify which records to release, the recipient, and purpose; sign and date; submit using the provided method (fax to 781-744-1164) or other approved submission methods.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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