Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Modern Obstetrics & Gynecology of North Atlanta, P.C. before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Modern Obstetrics & Gynecology of North Atlanta, P.C. fax number

(404) 446-2497

Obstetrics & Gynecology

Used for: Medical Records Release Form and related medical record requests

Fax destination details

Department
Obstetrics & Gynecology
Purpose
Medical Records Release Form and related medical record requests
Form
Medical Records Release Form — Medical Records Release Form
Address
10692 Medlock Bridge Road, Suite 100-A, Johns Creek, GA 30097
Voice phone
404-446-2496

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 indicate if records are being sent to or from Modern OB/GYN of North Atlanta; provide patient details (name, date of birth, etc.) and contact numbers; specify which records to release (e.g., entire record, radiology, labs) and reason for request.

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

Sources and verification

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