Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Saint Sophie’s LLC before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Saint Sophie’s LLC fax number

(701) 365-0727

Mental Health / Psychiatry

Used for: Medical records release / HIPAA authorization

Fax destination details

Department
Mental Health / Psychiatry
Purpose
Medical records release / HIPAA authorization
Form
Authorization for Release of Information (HIPAA release) — Authorization for Release of Information
Address
3201 33rd Street South, Fargo, ND 58104
Voice phone
701-365-4488

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  • 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, date of birth, dates of records requested, and recipient (Saint Sophie’s LLC); sign and date; fax to 701-365-0727.

Official form instructions are published as a downloadable file on the organization's website.

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