Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with South Shore Medical Center, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.

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South Shore Medical Center, Inc. fax number

(781) 681-1713

Family Medicine

Used for: Medical records requests (PHI release/records transfers) to and from South Shore Medical Center

Fax destination details

Department
Family Medicine
Purpose
Medical records requests (PHI release/records transfers) to and from South Shore Medical Center
Form
Authorization for Release of Protected Health Information (PHI) — Use or Disclose Protected Health Information Form
Address
143 Longwater Drive, Norwell, MA 02061
Voice phone
781-878-5200

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, sign, and submit the Use or Disclose PHI form to authorize release of medical records; a processing fee may apply (e.g., $6.50).

Review official form instructions

Sources and verification

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