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National Jewish Health fax number

(303) 398-1211

HIM Department

Used for: PHI release / medical records requests

Fax destination details

Department
HIM Department
Purpose
PHI release / medical records requests
Form
HIP 027E - Consent to Communicate Protected Health Information (PHI) — Consent to Communicate Protected Health Information (PHI)
Address
1400 Jackson St, Denver, CO 80206
Voice phone
303-388-4461

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 patient information and designate alternate representatives; specify who may receive PHI; sign and date the form; answers to privacy-preference questions; use to authorize PHI disclosures.

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