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Prosser Memorial Health fax number

(509) 788-0488

Prosser Memorial Hospital/ER

Used for: Medical records release / authorization to obtain or disclose health care information

Fax destination details

Department
Prosser Memorial Hospital/ER
Purpose
Medical records release / authorization to obtain or disclose health care information
Form
Authorization to Obtain or Disclose Health Care Information — Authorization to Obtain or Disclose Health Care Information
Address
820 Memorial St Ste 3, Prosser, WA 99350
Voice phone
+1 509-786-5599

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 form to authorize release of medical records; identify the recipient; provide patient name, date of birth, contact information, and what records to release; specify the format; submit by dropping off, mailing, or faxing to Health Information Management.

Review official form instructions

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