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South Shore Health fax number

(781) 624-5012

Outpatient Imaging and Women's Specialty Center (Radiology)

Used for: Imaging orders and radiology reports; medical records requests and related correspondence are commonly exchanged between patients and the imaging center via fax

Fax destination details

Department
Outpatient Imaging and Women's Specialty Center (Radiology)
Purpose
Imaging orders and radiology reports; medical records requests and related correspondence are commonly exchanged between patients and the imaging center via fax
Form
HIPAA Authorization / Release of Information — Authorization to Release Radiology/Diagnostic Images
Address
101 Columbian St., South Weymouth, MA 02190
Voice phone
781-624-4524

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 form to authorize release of radiology/diagnostic images. Include patient identifying information, dates of service, the recipient, and the scope of records to be released. Return to the organization’s Release of Information department.

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