Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Long Beach Memorial Medical Center (MemorialCare Health System) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Long Beach Memorial Medical Center (MemorialCare Health System) fax number
(562) 933-1185
Medical Records Department
Used for: Medical records release / authorization to disclose protected health information (PHI)
Fax destination details
- Department
- Medical Records Department
- Purpose
- Medical records release / authorization to disclose protected health information (PHI)
- Form
- Authorization to Use and Disclose Protected Health Information — Authorization to Use and Disclose Protected Health Information
- Address
- Long Beach Memorial Medical Center / Miller Children’s Hospital Long Beach / Community Hospital Long Beach, 2801 Atlantic Avenue, Long Beach, CA 90806
- Voice phone
- (562) 933-2000
- 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.
Complete the attached form to request your medical records: provide demographic information, specify the provider/records to disclose (e.g., complete medical record, history & physical, etc.), indicate how you want records delivered, sign and date, and provide a valid photo ID. The authorization is typically valid for 90 days; fees may apply for copies; submit in person, by fax, or by mail to the Medical Records Department.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.