Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with OrthoNebraska before sending sensitive documents. FaxFlow is not affiliated with this organization.
OrthoNebraska fax number
(402) 609-2174
OrthoNebraska Clinic – Medical Records
Used for: Medical records release / disclosure of medical information (patient requests, insurance/claims, and legal requests).
Fax destination details
- Department
- OrthoNebraska Clinic – Medical Records
- Purpose
- Medical records release / disclosure of medical information (patient requests, insurance/claims, and legal requests).
- Form
- Form 63 (11/21) — Authorization for Disclosure of Medical Information
- Address
- 2725 S. 144th St., Suite 212, Omaha, NE 68144
- Voice phone
- 402-609-2150
- 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 patient name, date of birth, address, daytime phone; indicate which records to disclose and to whom; specify purpose of disclosure; sign and date; return via the clinic's fax line.
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.