Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with The Urology Group (Tri State Urologic Services PSC, Inc., doing business as The Urology Group) before sending sensitive documents. FaxFlow is not affiliated with this organization.
The Urology Group (Tri State Urologic Services PSC, Inc., doing business as The Urology Group) fax number
(513) 841-7402
Medical Records
Used for: Medical records requests and PHI release authorizations
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records requests and PHI release authorizations
- Form
- Authorization to Disclose Protected Health Information — Authorization to Disclose Protected Health Information
- Address
- 2000 Joseph E. Sanker Blvd, Cincinnati, OH 45212
- Voice phone
- 513-841-7400
- 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 patient identifying information, specify the records to release, recipient details, purpose, and consent; then fax to the organization's PHI release number.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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No public source link was saved with this record. Confirm the number directly with the organization before using it.