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WellMed Medical Group / WellMed Medical Management Inc. fax number

(817) 514-7879

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Health Information Management Department

Used for: Release of medical records / medical records requests (faxes of requests and responses)

Fax destination details

Department
Health Information Management Department
Purpose
Release of medical records / medical records requests (faxes of requests and responses)
Form
Authorization for Release of Patient Information — Authorization for Release of Patient Information
Address
6363 N Hwy 161, Suite 100, Irving, TX 75038
Voice phone
1-877-370-8115

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 all required fields, sign and date; specify recipient; submit via mail, fax, or email to WellMed Health Information Management Department. The form is available on the WellMed medical records page and can be downloaded as an authorization form for release of health information.

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

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