Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with SSM Health St. Anthony Hospital - Shawnee before sending sensitive documents. FaxFlow is not affiliated with this organization.
SSM Health St. Anthony Hospital - Shawnee fax number
(405) 878-8162
Medical Records (Health Information Management)
Used for: Medical records request / release of information via fax
Fax destination details
- Department
- Medical Records (Health Information Management)
- Purpose
- Medical records request / release of information via fax
- Form
- Authorization for Use and Disclosure of Protected Health Information — Authorization for Use and Disclosure of Protected Health Information
- Address
- 1102 W. MacArthur St., Shawnee, OK 74804
- Voice phone
- 405-878-8160
- Website
- Visit organization website
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 out the form with patient name, birth date, information to be released, and recipient details; specify the purpose of disclosure and sign/date. The form is used to request access to or disclosure of protected health information.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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