UNC Health Rex (Rex Hospital) – Health Information Management fax number

Fax destination details

Department

Health Information Management (Release of Information)

Purpose

Medical records release / request for protected health information (PHI). Faxed requests via the PHI release form; Rex HIM processes PHI requests and releases records.

Form

PHI release / PHI access request — Patient Request for Access to Protected Health Information (PHI)

Address

4420 Lake Boone Trail, Raleigh, NC 27607

Voice phone

919-784-3158

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 PHI request form HIM# 1409s, specify which records to release, patient information, and delivery method. Fax to Rex Health Information Management at 919-784-3343, or mail to 4420 Lake Boone Trail, Raleigh, NC 27607.

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