Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Regional Cancer Care Associates LLC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Regional Cancer Care Associates LLC fax number
(973) 726-4668
Oncology/Hematology
Used for: Medical records release / authorization for use and disclosure of health information
Fax destination details
- Department
- Oncology/Hematology
- Purpose
- Medical records release / authorization for use and disclosure of health information
- Form
- Release of Medical Records / Authorization for Use and Disclosure of Health Information — Authorization for Use and Disclosure of Health Information
- Address
- 210 Woodport Road, Sparta, NJ 07871
- Voice phone
- 973-726-0005
- 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, authorize disclosure to the requested recipient, specify which health information to disclose, indicate treatment/reason if applicable, sign and date, and note expiration. The form is used to release medical records to another party.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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