Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with MidHudson Regional Hospital before sending sensitive documents. FaxFlow is not affiliated with this organization.
MidHudson Regional Hospital fax number
(845) 483-5463
Radiology
Used for: Radiology film requests and transfer of imaging (films/CDs); used for PHI disclosures related to radiology
Fax destination details
- Department
- Radiology
- Purpose
- Radiology film requests and transfer of imaging (films/CDs); used for PHI disclosures related to radiology
- Form
- Authorization to Disclose Protected Health Information (PHI) — Authorization to Disclose Protected Health Information (English)
- Address
- 241 North Road, Poughkeepsie, NY 12601
- Voice phone
- 845-483-5000
- 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.
Instructions for PHI release: complete pages 2-3, specify recipient, and note any fees; submit via mail or fax to Health Information Management (HIM).
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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