Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Piedmont HealthCare. Before sending anything sensitive, confirm the number and receiving department directly with Piedmont HealthCare, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
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Piedmont HealthCare fax number
(704) 696-2570
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Medical Records
Used for: Submitting Medical Records Release Form / authorization for the use and disclosure of protected health information (PHI).
Fax destination details
- Department
- Medical Records
- Purpose
- Submitting Medical Records Release Form / authorization for the use and disclosure of protected health information (PHI).
- Form
- Medical Records Release Form — Authorization for the Use and Disclosure of Protected Health Information
- Address
- P.O. Box 1845, Statesville, NC 28687
- Voice phone
- 704-978-3546
- 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.
Complete the Medical Records Release Form with patient identifying information and the scope of records to be disclosed, then fax to 704-696-2570.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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