Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Northlake Obstetrics & Gynecology, P.A. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Northlake Obstetrics & Gynecology, P.A. fax number
(972) 981-7712
Obstetrics & Gynecology
Used for: Medical records requests and other medical communications (e.g., test results, appointment notes) via fax
Fax destination details
- Department
- Obstetrics & Gynecology
- Purpose
- Medical records requests and other medical communications (e.g., test results, appointment notes) via fax
- Form
- Authorization to Release Medical Records — Authorization to Release Medical Records
- Address
- 6124 W Parker Rd, Plano, TX 75093
- Voice phone
- 972-981-7711
- 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.
Complete, sign, and return this form to Northlake Obstetrics & Gynecology; indicate which records to release; records may incur a fee; authorization is valid for 30 days from the signature.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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No public source link was saved with this record. Confirm the number directly with the organization before using it.