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Riverview Medical Center (Hackensack Meridian Health) fax number
(732) 224-7210
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Health Information Management / Medical Records
Used for: Release of information for medical records requests; submission of HIPAA authorization form to health information department
Fax destination details
- Department
- Health Information Management / Medical Records
- Purpose
- Release of information for medical records requests; submission of HIPAA authorization form to health information department
- Form
- Release of Information (ROI) form / HIPAA authorization form — Authorization to Use or Disclose Protected Health Information
- Address
- Riverview Medical Center, 1 Riverview Plaza, Red Bank, NJ 07701
- Voice phone
- 732-530-2510
- Website
- Visit organization website
Before you send
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Complete patient details, identify records to release, purpose, date range if needed, sign and date, and submit by mail or fax to the Health Information Management Department.
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