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Regional Rehab Associates, PA dba Jaffe Sports Medicine and Rehabilitation fax number
(855) 959-1692
Medical Records Release
Used for: Medical records release / records transfer
Fax destination details
- Department
- Medical Records Release
- Purpose
- Medical records release / records transfer
- Form
- Medical Records Release — Medical Records Release
- Address
- 1865 Veterans Park Dr Ste 101, Naples, FL 34109
- Voice phone
- 1-239-254-7778
- 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 and date of birth, reason for request, records requested (All Records or specific items), and designate the release recipient as Regional Rehab Associates, PA dba Jaffe Sports Medicine and Rehabilitation; indicate mailing or fax return option, and sign/date.
Official form instructions are published as a downloadable file on the organization's website.
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