Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with North Country Home Health & Hospice Agency before sending sensitive documents. FaxFlow is not affiliated with this organization.

Healthcarehigh confidence

North Country Home Health & Hospice Agency fax number

(603) 788-5054

Used for: Authorization for Release of Information / medical records release

Fax destination details

Purpose
Authorization for Release of Information / medical records release
Form
Authorization for the Use or Disclosure of Health Information — Authorization for Release of Information
Address
536 Cottage St, Littleton, NH 03561
Voice phone
603-788-5636

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 complete all sections. Information missing may cause delays or the inability to retrieve your records. Release may take up to 30 days to process.

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