Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Portland Diabetes & Endocrinology Center, P.C. before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Portland Diabetes & Endocrinology Center, P.C. fax number

(503) 297-3338

Medical Records

Used for: Medical records requests / authorization for release of medical records

Fax destination details

Department
Medical Records
Purpose
Medical records requests / authorization for release of medical records
Form
Authorization for Release of Medical Records — Authorization for Release of Medical Records
Address
9135 SW Barnes Road, Suite 985, Portland, OR 97225
Voice phone
(503) 297-3336

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 patient information, specify records to be released and recipient, sign and date. The form notes that the authorization expires 180 days from signing and that redisclosure rules apply under HIPAA.

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

Sources and verification

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