Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with MaineHealth before sending sensitive documents. FaxFlow is not affiliated with this organization.
MaineHealth fax number
(207) 761-3092
Health Information Management Department
Used for: Requests for medical records (PHI) and releases; submitting an Authorization to Release Protected Health Information to have records released to another provider or to the requester.
Fax destination details
- Department
- Health Information Management Department
- Purpose
- Requests for medical records (PHI) and releases; submitting an Authorization to Release Protected Health Information to have records released to another provider or to the requester.
- Form
- 144028 — Authorization to Release Protected Health Information (PHI)
- Address
- Health Information Management Department, 301C US Route One, Scarborough, ME 04074
- Voice phone
- 207-662-2211
- 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.
Download and complete the Authorization to Release Protected Health Information form, sign and date, include a legible photo ID, and submit via MyChart, email, mail, or fax to 207-761-3092. If mailing or faxing, address to Health Information Management Department, 301C US Route One, Scarborough, ME 04074; Fax: 207-761-3092.
Official form instructions are published as a downloadable file on the organization's website.
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