Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by University at Buffalo School of Dental Medicine. Before sending anything sensitive, confirm the number and receiving department directly with University at Buffalo School of Dental Medicine, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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University at Buffalo School of Dental Medicine fax number

(716) 829-2242

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Patient Records / Medical Records

Used for: Medical records requests / records release communications

Fax destination details

Department
Patient Records / Medical Records
Purpose
Medical records requests / records release communications
Form
Records Request Form — Authorization for Release of Health Information Pursuant to NYS Law
Address
102 Squire Hall, Buffalo, NY 14214-8006
Voice phone
716-829-2824

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  • 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.

Submit this form via one of three options: (a) scan and upload the completed form to the patient portal, (b) fax to 716-829-2242, or (c) mail to Attn: Medical Records, University at Buffalo School of Dental Medicine, 102 Squire Hall, Buffalo, NY 14214-8006.

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

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