Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Venice Family Clinic before sending sensitive documents. FaxFlow is not affiliated with this organization.
Venice Family Clinic fax number
(310) 943-3521
Medical Records
Used for: Medical records release / authorization for release of health information
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records release / authorization for release of health information
- Form
- Medical Records Release Authorization — Authorization for Release of Health Information
- Address
- 604 Rose Avenue, Venice, CA 90291
- Voice phone
- (310) 392-8636
- 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 patient information (name, DOB, MR#), indicate recipient, select type of records to release, state the purpose and duration, and sign/date. Return to Venice Family Clinic Medical Records. If needed, provide witness or case manager details.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.