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

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MediCopy Services, Inc. fax number

(844) 658-9553

Release of Information (ROI) / Medical Records

Used for: Submission of medical records requests to MediCopy for release of records (HIPAA authorization).

Fax destination details

Department
Release of Information (ROI) / Medical Records
Purpose
Submission of medical records requests to MediCopy for release of records (HIPAA authorization).
Form
HIPAA authorization form — Medical Records Release of Information Form (HIPAA Authorization)
Address
MediCopy Services, Inc., 8 City Blvd., Suite 400, Nashville, TN 37209

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 the release of information form, fill in patient and authorization details, sign, and submit via fax to 844-658-9553 or via the channel specified on the form.

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