Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Piedmont HealthCare before sending sensitive documents. FaxFlow is not affiliated with this organization.
Piedmont HealthCare fax number
(704) 696-2570
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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