Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with PECAN TREE PEDIATRICS, P.A. before sending sensitive documents. FaxFlow is not affiliated with this organization.

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PECAN TREE PEDIATRICS, P.A. fax number

(469) 757-4890

Medical Records

Used for: Medical records release requests and related documents

Fax destination details

Department
Medical Records
Purpose
Medical records release requests and related documents
Form
Records Release — Authorization to Release/Discuss Records
Address
201 E I-30 Ste 100, Rockwall, TX 75087-5402
Voice phone
972-772-3100

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.

Fill patient name, date of birth, recipient name and address, purpose of release, and records to be released; sign and date; submit to Medical Records for processing.

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

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