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Parkland Health & Hospital System fax number

(214) 590-2845

Parkland Health Information Management (Medical Records)

Used for: HIPAA Medical Record Amendment Request

Fax destination details

Department
Parkland Health Information Management (Medical Records)
Purpose
HIPAA Medical Record Amendment Request
Form
PCA001 — HIPAA Medical Record Amendment Request
Address
5151 Maple Avenue, Suite 05-1164, Dallas, TX 75235
Voice phone
214-590-5470

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Submit the completed HIPAA Medical Record Amendment Request form and any supporting documents to Parkland Health Information Management at 5151 Maple Avenue, Suite 05-1164, Dallas, TX 75235. Fax: 214-590-2845. You will receive a response within 60 days of receipt, unless an extension of up to 30 days is needed.

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