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Park West Women's Health, PC fax number
(585) 473-3098
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Obstetrics and Gynecology
Used for: Medical records release and communications (records requests, authorization forms, confirmations).
Fax destination details
- Department
- Obstetrics and Gynecology
- Purpose
- Medical records release and communications (records requests, authorization forms, confirmations).
- Form
- Authorization for Release of Records — Authorization for Release of Records
- Address
- 300 Red Creek Dr Ste 100, Rochester, NY 14623-4283
- Voice phone
- 585-473-2846
- 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.
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- Keep the delivery confirmation with your submission records.
Complete patient name and date of birth; indicate whether records should be sent to or retrieved from a specified recipient; if more than 20 pages are transmitted, there may be an administrative fee of $15. Sign and date the form.
Official form instructions are published as a downloadable file on the organization's website.
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