Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Palo Verde Pain Specialists before sending sensitive documents. FaxFlow is not affiliated with this organization.
Palo Verde Pain Specialists fax number
(602) 714-7176
Used for: Medical records requests and disclosures; release of health information and related authorization forms; appointment communications
Fax destination details
- Purpose
- Medical records requests and disclosures; release of health information and related authorization forms; appointment communications
- Form
- Authorization to Disclose Health Information (Medical Record Release) — Authorization to Disclose Health Information to Palo Verde Pain Specialists
- Address
- 13090 N 94th Dr Ste 212, Peoria, AZ 85381; 2905 W Warner Rd Ste 19, Chandler, AZ 85224
- Voice phone
- (833) 578-7246
- 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 data, sign, and specify the purpose for disclosure; include date of birth and patient relationship if required.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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