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

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OrthoNeuro fax number

(614) 818-7724

Medical Records

Used for: Authorization for Disclosure of Health Information / medical records release

Fax destination details

Department
Medical Records
Purpose
Authorization for Disclosure of Health Information / medical records release
Form
Authorization for Disclosure of Health Information (Medical Records Release Form) — Authorization for Disclosure of Health Information
Address
1313 Olentangy River Rd, Columbus, OH 43212
Voice phone
+1 614-890-6555

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.

Patient fills required fields (name, date of birth, address, etc.), selects what information to disclose (ER records, progress notes, labs, etc.), specifies recipient, signs and dates, and notes expiration date/event; informs about potential re-disclosure and applicable fees.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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