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Stony Brook University Hospital (Stony Brook Medicine) fax number

(631) 444-7738

Health Information Management Department

Used for: Authorization to Release medical records (medical records request)

Fax destination details

Department
Health Information Management Department
Purpose
Authorization to Release medical records (medical records request)
Form
Authorization to Release medical records — Authorization to Release their medical records
Address
Health Information Management Department, 500 Commack Road, Suite 171, Commack, NY 11725
Voice phone
631-444-1300

Before you send

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  • 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.

Submit the Authorization to Release medical records; paper forms can be mailed to Stony Brook University Hospital Health Information Management Department, 500 Commack Road, Suite 171, Commack, NY 11725, or faxed to 631-444-7738.

Review official form instructions

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