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Walgreens Custodian of Records fax number

(217) 554-8955

Custodian of Records / Health Information Management

Used for: Authorization for the release of protected health information; submission of medical records requests to Walgreens

Fax destination details

Department
Custodian of Records / Health Information Management
Purpose
Authorization for the release of protected health information; submission of medical records requests to Walgreens
Form
Authorization – for Release of Information to Third Party — Walgreens Authorization
Address
Walgreens Custodian of Records, 1901 East Voorhees Street, MS 735, Danville, IL 61834
Voice phone
217-554-8949

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.

Complete the Walgreens Authorization form, sign, and fax to 217-554-8955 to request or release medical records; if sending by mail, use the Walgreens Custodian of Records address.

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

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