Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Southern Maryland Orthopaedic & Sports Medicine Center (a location of The Centers for Advanced Orthopaedics) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Southern Maryland Orthopaedic & Sports Medicine Center (a location of The Centers for Advanced Orthopaedics) fax number

(301) 475-5914

Orthopedics

Used for: Medical records requests / release of medical information

Fax destination details

Department
Orthopedics
Purpose
Medical records requests / release of medical information
Form
Medical Records Release Authorization — Authorization to Release Medical Record Information
Address
23000 Moakley Street, Suite 102, Leonardtown, MD 20650
Voice phone
301-475-5555

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 patient details (name, DOB, SSN, address), specify the treatment dates, and check which records to release (entire record, diagnostic studies, operative reports, etc.). Include recipient information and sign/date. HIPAA permissions apply; per the form, records may be released via various methods (including fax) to the authorized recipient.

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

Sources and verification

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