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TPMG Edinburgh Family Medicine fax number

(757) 908-2065

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Family Medicine

Used for: Transmitting patient forms and medical information between patients and the clinic, including new patient forms and releases of information (e.g., authorization to release medical information, privacy notice).

Fax destination details

Department
Family Medicine
Purpose
Transmitting patient forms and medical information between patients and the clinic, including new patient forms and releases of information (e.g., authorization to release medical information, privacy notice).
Form
New Patient Form; Authorization to Release Medical Information Form; Privacy Notice (HIPAA Form); Financial Policy — Edinburgh Family Medicine New Patient Form; Authorization to Release Medical Information Form; Privacy Notice (HIPAA Form); Financial Policy
Address
200 Carmichael Way, Suite 606, Chesapeake, VA 23322
Voice phone
(757) 401-4163

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New patient paperwork should be submitted before the appointment; forms can be dropped off in the office, faxed, or uploaded to the patient portal.

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