Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Partnership HealthPlan of California before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Partnership HealthPlan of California fax number

(707) 420-7580

Member Services Enrollment Unit

Used for: Enrollment requests and related documents for Partnership HealthPlan of California members, faxed to the Enrollment Unit at 707-420-7580.

Fax destination details

Department
Member Services Enrollment Unit
Purpose
Enrollment requests and related documents for Partnership HealthPlan of California members, faxed to the Enrollment Unit at 707-420-7580.
Form
ROI (Authorization to Release Medical Information) — Authorization to Release Medical Information (ROI) Form
Address
4665 Business Center Drive, Fairfield, CA 94534
Voice phone
(800) 863-4155

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 the Authorization to Release Medical Information (ROI) form and fax to Partnership HealthPlan of California, either: Southern Region: 4665 Business Center Drive, Fairfield, CA 94534; Fax 707-420-7580; or Northern Region: 3688 Avtech Pkwy, Redding, CA 96002; Fax 530-223-2508.

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

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