Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Providence Queen of the Valley Medical Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
Providence Queen of the Valley Medical Center fax number
(866) 476-4002
Health Information Management (HIM) / Medical Records
Used for: Medical records requests and releases, including third‑party requests and designated record set (DRS) disclosures
Fax destination details
- Department
- Health Information Management (HIM) / Medical Records
- Purpose
- Medical records requests and releases, including third‑party requests and designated record set (DRS) disclosures
- Form
- Patient Request to Access/Disclose a Designated Record Set Form — Patient Request to Access/Disclose a Designated Record Set Form for Release of Health Information
- Address
- 1000 Trancas Street, Napa, CA 94558-1906
- 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.
To obtain a copy of medical records, you may complete the designated form or write a letter with required elements (patient name and DOB, recipient name and address, date range, specific records, facility). Alternatively, complete the Patient Request to Access/Disclose a Designated Record Set Form and fax it to 866-476-4002.
Review official form instructionsSources and verification
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No public source link was saved with this record. Confirm the number directly with the organization before using it.