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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Premier Family Medical. Before sending anything sensitive, confirm the number and receiving department directly with Premier Family Medical, 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.
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Premier Family Medical fax number
(801) 768-4526
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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
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