Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Quail Run Behavioral Health before sending sensitive documents. FaxFlow is not affiliated with this organization.
Quail Run Behavioral Health fax number
(602) 283-7735
Health Information Management (HIM) / Medical Records
Used for: Authorization for Release of Protected Health Information (ROI) – release of medical records/PHI
Fax destination details
- Department
- Health Information Management (HIM) / Medical Records
- Purpose
- Authorization for Release of Protected Health Information (ROI) – release of medical records/PHI
- Form
- ROI form — Authorization for Release of Protected Health Information
- Address
- 2545 W. Quail Ave, Phoenix, AZ 85027
- Voice phone
- 602-455-5700
- 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.
Complete patient details, authorize release, specify the records requested, dates, and how to deliver; signer must date.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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