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Neurology Clinic, P.C. fax number

(901) 747-1137

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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

Before you send

  • Confirm that this exact department handles your document or request.
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Fill patient name, date of birth, description of records to release, recipient, sign and date; expires one year from the date signed

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