Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Leonia Medical Associates PA before sending sensitive documents. FaxFlow is not affiliated with this organization.
Leonia Medical Associates PA fax number
(201) 568-2450
Internal Medicine; Infectious Disease
Used for: New patient registration / intake forms and release of information, including medical records requests
Fax destination details
- Department
- Internal Medicine; Infectious Disease
- Purpose
- New patient registration / intake forms and release of information, including medical records requests
- Form
- Registration Form; Consent for Treatment; Release of Information — Registration Form (Patient Information Form); Consent for Treatment, Assignment of Insurance Benefits, Release of Information and Financial Agreement
- Address
- 25 Rockwood Place, Englewood, NJ 07631
- Voice phone
- 201-568-3335
- 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 patient information form and consent forms; fax to 201-568-2450.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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