Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Rebecca Jude Grillo P.A. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Rebecca Jude Grillo P.A. fax number
(203) 672-2801
Physician Assistant
Used for: Medical records requests and other patient communications (e.g., authorization to release medical information).
Fax destination details
- Department
- Physician Assistant
- Purpose
- Medical records requests and other patient communications (e.g., authorization to release medical information).
- Form
- Authorization to Release Medical Information (HIPAA Release Form) — Authorization to Release Medical Information
- Address
- 52 Washington Ave, Suite 4, North Haven, CT 06473-1724
- Voice phone
- 203-672-2800
- 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 name, date of birth, contact information; indicate the agency/clinic to receive the records; specify date range if needed; sign and date the form. Submit to the medical records department or the contact listed by the practice.
Sources 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.