Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Littleton Regional Healthcare before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Littleton Regional Healthcare fax number

(603) 259-7559

Health Information Management/Medical Records

Used for: Release of medical records / health information requests

Fax destination details

Department
Health Information Management/Medical Records
Purpose
Release of medical records / health information requests
Form
Authorization for Release of Information — Authorization for Release of Information
Address
600 St. Johnsbury Road, Littleton, NH 03561
Voice phone
603-444-9538

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.

Please complete all sections; release may take up to 30 days to process.

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

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