Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with UC Health — West Chester Hospital before sending sensitive documents. FaxFlow is not affiliated with this organization.
UC Health — West Chester Hospital fax number
(513) 298-7765
Medical Records Department
Used for: Authorization for Release of Patient Protected Health Information (PHI); medical records release
Fax destination details
- Department
- Medical Records Department
- Purpose
- Authorization for Release of Patient Protected Health Information (PHI); medical records release
- Form
- Authorization for Release of Information (ROI) — Authorization for Release of Patient Protected Health Information
- Address
- West Chester Hospital, 7777 University Drive, Suite A, West Chester, OH 45069
- Voice phone
- 513-298-7750
- 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 the ROI form with patient name, date of birth, and recipient; specify records to release; sign and date; fax to 513-298-7765.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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