Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Spine Team Texas, P.A. before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Spine Team Texas, P.A. fax number

(972) 772-9601

Medical Records

Used for: Medical records receive/release (PHI) - records authorization for receiving or releasing health information

Fax destination details

Department
Medical Records
Purpose
Medical records receive/release (PHI) - records authorization for receiving or releasing health information
Form
Receive/Release Records Authorization — Receive/Release Records Authorization
Address
3142 Horizon Rd, Suite 100, Rockwall, TX 75032
Voice phone
817-442-9300

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.

Fill patient name and birth date, authorize Spine Team Texas, P.A. to receive or release health information, indicate data to be released, purpose, and sign/date; submit to Spine Team Texas records department.

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