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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Providence Queen of the Valley Medical Center. Before sending anything sensitive, confirm the number and receiving department directly with Providence Queen of the Valley Medical Center, 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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Providence Queen of the Valley Medical Center fax number
(866) 476-4002
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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.
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