Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Valleywise Health before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Valleywise Health fax number

(602) 655-9017

Health Information Management / Release of Information

Used for: Medical records requests and releases of protected health information (PHI) to patients or designated recipients

Fax destination details

Department
Health Information Management / Release of Information
Purpose
Medical records requests and releases of protected health information (PHI) to patients or designated recipients
Form
Authorization to Use or Disclose Protected Health Information — Authorization to Use or Disclose Protected Health Information
Address
2601 E. Roosevelt Street, Phoenix, AZ 85008
Voice phone
(602) 344-5266

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 PHI authorization form with patient details, the information to be released, and the recipient; sign and submit to Valleywise Health's Release of Information (ROI) department. Access may require identification and may incur copying/handling fees. See official ROI forms for details.

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

Sources and verification

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