Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Optum Medical Care, New York (formerly ProHEALTH) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Optum Medical Care, New York (formerly ProHEALTH) fax number
(516) 812-4305
Health Information Management
Used for: Medical records release / patient records request (ROI)
Fax destination details
- Department
- Health Information Management
- Purpose
- Medical records release / patient records request (ROI)
- Form
- Authorization for the Release of Information — Authorization for the Release of Information
- Address
- Lake Success, NY 11042
- Voice phone
- 516-622-3491
- 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 the ROI form with patient name, date of birth, records to be released, recipient, and purpose; sign and date; submit via fax or mail to the address/fax provided by the office.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.