Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Santa Clara Valley Medical Center (SCVMC). Before sending anything sensitive, confirm the number and receiving department directly with Santa Clara Valley Medical Center (SCVMC), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
Represent Santa Clara Valley Medical Center (SCVMC)? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
Santa Clara Valley Medical Center (SCVMC) fax number
(408) 885-5170
Wrong or outdated? Report this number
Health Information Management / Release of Information (ROI)
Used for: Release of medical records to patients or their authorized representatives; processing requests via the Release of Information form
Fax destination details
- Department
- Health Information Management / Release of Information (ROI)
- Purpose
- Release of medical records to patients or their authorized representatives; processing requests via the Release of Information form
- Form
- Release of Medical Record Information Form (Form 9090) — Request for Release of Medical Record Information
- Address
- 751 S Bascom Ave., Room 1C037, San Jose, CA 95128
- Voice phone
- (408) 885-3764
- 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 the Release of Medical Record Information form, specify which parts of the records you want, indicate patient details and the recipient, sign and date the form. Submit by mail, in person, or by fax to the Release of Information department. Allow up to 10 business days for processing. If someone else will pick up records, provide an original signed authorization letter and a photo ID.
Review official form instructionsSources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.