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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Rashid Rice Flynn & Reilly Eye Associates PLLC. Before sending anything sensitive, confirm the number and receiving department directly with Rashid Rice Flynn & Reilly Eye Associates PLLC, 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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Rashid Rice Flynn & Reilly Eye Associates PLLC fax number
(210) 340-1505
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Ophthalmology
Used for: Medical records submission / authorization to disclose health information to Rashid Rice Flynn & Reilly Eye Associates PLLC
Fax destination details
- Department
- Ophthalmology
- Purpose
- Medical records submission / authorization to disclose health information to Rashid Rice Flynn & Reilly Eye Associates PLLC
- Form
- Authorization to Disclose Health Information — AUTHORIZATION TO DISCLOSE HEALTH INFORMATION TO EYE ASSOCIATES
- Address
- San Antonio (Main Office) 5430 Fredericksburg Rd, Suite 100, San Antonio, TX 78229
- Voice phone
- (210) 340-1212
- 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 patient name, date of birth, and address; specify the doctor and Eye Associates address to disclose to; indicate purpose (medical care, work, school, insurance); sign and date; expiration is 180 days; return via fax to the Eye Associates main fax line.
Official form instructions are published as a downloadable file on the organization's website.
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