Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Premier Family Medical before sending sensitive documents. FaxFlow is not affiliated with this organization.
Premier Family Medical fax number
(801) 768-4526
Medical Records
Used for: Medical records release / request (authorization for release of records); used to submit and inquire about patient records.
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records release / request (authorization for release of records); used to submit and inquire about patient records.
- Form
- Medical Records Release (Release of Information) — Medical Records Release Form
- Address
- 680 E Main St, Lehi, UT
- Voice phone
- 801-768-1699
- 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.
Fill in patient details, authorization, and recipient information; specify records to release and dates; sign and date before faxing to the number.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.