Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Tallahassee Memorial HealthCare (TMH) – TMH Physician Partners, Cardiothoracic Surgery before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Tallahassee Memorial HealthCare (TMH) – TMH Physician Partners, Cardiothoracic Surgery fax number

(850) 431-6180

TMH Physician Partners – Cardiothoracic Surgery

Used for: Release of Information / medical records request via fax

Fax destination details

Department
TMH Physician Partners – Cardiothoracic Surgery
Purpose
Release of Information / medical records request via fax
Form
Release of Information — Authorization for Release of Information
Address
1405 Centerville Road, Suite 5000, Dogwood Building, Tallahassee, FL 32308
Voice phone
850-878-6164

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 Authorization for Release of Information form. To return the paper authorization form via Email: HIMmedicalrecordsrequest@tmh.org (include a photo of the completed form and your driver’s license/photo ID in the email). To return by mail: Tallahassee Memorial HealthCare, ATTN: Release of Information/Medical Records, 1300 Miccosukee Road, Tallahassee, FL 32308. To return by fax: 850-431-6180. The form requests patient name, date(s) of service, and recipient information; expiration is one year after signature.

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

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