Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Old Vineyard Behavioral Health Services. Before sending anything sensitive, confirm the number and receiving department directly with Old Vineyard Behavioral Health Services, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Old Vineyard Behavioral Health Services fax number
(336) 794-4351
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Release of Information
Used for: Authorization for Release of Confidential Information / request for medical records
Fax destination details
- Department
- Release of Information
- Purpose
- Authorization for Release of Confidential Information / request for medical records
- Form
- Authorization for Release of Confidential Information — Authorization for Release of Confidential Information
- Address
- 3637 Old Vineyard Road, Winston-Salem, NC 27104
- Voice phone
- 336-794-4391
- 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.
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Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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