Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Rashid Rice Flynn & Reilly Eye Associates PLLC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Rashid Rice Flynn & Reilly Eye Associates PLLC fax number
(210) 340-1505
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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