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Sleep & Cardiovascular Health fax number

(251) 278-3930

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Sleep Medicine

Used for: Medical records requests and submission of pre-appointment forms (e.g., Record Release Form) via fax

Fax destination details

Department
Sleep Medicine
Purpose
Medical records requests and submission of pre-appointment forms (e.g., Record Release Form) via fax
Form
Record Release Form — Sleep & Cardiovascular Health Record Release Form
Address
7101 US Hwy 90 Suite 102, Daphne, AL 36526
Voice phone
251-278-6022

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Fill in patient name, date of birth, contact info; specify recipient and what information to release (e.g., notes, labs, radiology, entire record); include consent and expiration; sign/date; include witness if required.

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