Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Pediatric Partners of Augusta, LLC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Pediatric Partners of Augusta, LLC fax number
(706) 854-2534
Used for: Medical records transfer/release requests
Fax destination details
- Purpose
- Medical records transfer/release requests
- Form
- Authorization to Transfer and Release Medical Records — Authorization to Transfer and Release Medical Records
- Address
- 1303 D’Antignac St, Suite 2600, Augusta, GA 30901
- Voice phone
- 706-854-2500
- 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.
The form requires patient name(s), date(s) of birth, physician/provider, signature of the responsible party, relationship to patient, and today's date; it authorizes release of medical records and notes a $30 per-record copying fee.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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