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Palo Alto Medical Foundation – Mountain View Center (Radiology/Diagnostic Imaging) fax number

(650) 934-7790

Radiology / Diagnostic Imaging

Used for: Diagnostic imaging orders and imaging reports; authorization communications

Fax destination details

Department
Radiology / Diagnostic Imaging
Purpose
Diagnostic imaging orders and imaging reports; authorization communications
Form
Authorization for Use and Disclosure of Health Information — Authorization for Use and Disclosure of Health Information (Imaging)
Address
701 E El Camino Real, Mountain View, CA 94040
Voice phone
650-934-7700

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 and DOB, dates of service, and recipient information; indicate imaging reports to release (e.g., radiology images and reports); sign and date. Submit to the PAMF Medical Records/Imaging Department.

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