Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Saint Michael's Medical Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
Saint Michael's Medical Center fax number
(973) 877-5112
Medical Records / Release of Information (ROI)
Used for: Medical records release requests (Release of Information), typically to obtain patient records or to forward records to another provider
Fax destination details
- Department
- Medical Records / Release of Information (ROI)
- Purpose
- Medical records release requests (Release of Information), typically to obtain patient records or to forward records to another provider
- Form
- Authorization for Release of Medical Records — Medical Records Release Form
- Address
- 111 Central Avenue, Newark, NJ 07102
- Voice phone
- (973) 877-5000
- 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 identifying information, dates of records requested, purpose of release, recipient information, signatures, and date. Fax the completed authorization to the ROI fax number (973-877-5112) or mail to the Health Information Management department.
Sources and verification
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