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Spokane Urology fax number

(509) 622-2704

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Medical Records

Used for: Medical records release request

Fax destination details

Department
Medical Records
Purpose
Medical records release request
Form
Release of Information (Authorization for Release of Health Information) — Release of Information Form
Address
Spokane Urology, 1401 East Trent Ave., Suite 200, Spokane, WA 99202
Voice phone
509-747-3147

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 authorization form for release of health information; ensure all fields are legible and complete; specify recipient, dates/records requested, and purpose; sign and date; fax to the number below.

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

Sources and verification

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