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

Healthcarehigh confidence

Talkspace fax number

(917) 591-1861

Medical Records

Used for: Release of medical records / Release of Protected Health Information (PHI)

Fax destination details

Department
Medical Records
Purpose
Release of medical records / Release of Protected Health Information (PHI)
Form
Authorization for Release of Confidential Information (Individual) — Individual Authorization for Release of Confidential Information

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 and sign to authorize Talkspace to release your medical records to the specified recipient; fax to 917-591-1861 or email recordrequest@talkspace.com.

Review official form instructions

Sources and verification

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