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Urogynecology Consultants fax number

(916) 772-5530

Urogynecology

Used for: Submitting new patient intake forms and medical records; receiving confirmations and communications from the practice

Fax destination details

Department
Urogynecology
Purpose
Submitting new patient intake forms and medical records; receiving confirmations and communications from the practice
Form
New patient packet — New patient packet
Address
5 Medical Plaza Dr, Roseville, CA 95661; Sacramento office: 2801 K Street, Suite 200, Sacramento, CA 95816

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.

Please read, complete, sign and date the New Patient Packet; fax the completed forms to the Sacramento office at 916-779-1166 or the Roseville office at 916-772-5530.

Review official form instructions

Sources and verification

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