Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Neurology Clinic, P.C. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Neurology Clinic, P.C. fax number
(901) 747-1137
Sleep Center
Used for: Medical records release / requests (HIPAA Release of Information) including sleep study reports
Fax destination details
- Department
- Sleep Center
- Purpose
- Medical records release / requests (HIPAA Release of Information) including sleep study reports
- Form
- HIPAA Release of Information — HIPAA Release of Information Authorization Form
- Address
- 8000 Centerview Parkway, Suite 500, Cordova, TN 38018
- Voice phone
- 901-747-1111 (voice); 901-747-1137 (fax)
- 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.
Fill patient name, date of birth, description of records to release, recipient, sign and date; expires one year from the date signed
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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