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Orthopaedic Associates of Muskegon, PC fax number

(231) 733-5212

Orthopaedic Surgery

Used for: Medical records requests / release of health information

Fax destination details

Department
Orthopaedic Surgery
Purpose
Medical records requests / release of health information
Form
ROI Authorization to Disclose Protected Health Information — Authorization to Disclose Protected Health Information
Address
1400 Mercy Dr., Suite 100, Muskegon, MI 49444
Voice phone
231-733-1326

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.

Fill patient identifying information, specify which records to release, purpose, and recipient; fax to 231-733-5212.

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

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