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

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WellSpan York Hospital fax number

(717) 812-8119

Release of Information / Medical Records

Used for: Medical records release requests and other health information disclosures (e.g., sending/receiving medical records).

Fax destination details

Department
Release of Information / Medical Records
Purpose
Medical records release requests and other health information disclosures (e.g., sending/receiving medical records).
Form
Authorization for Release of Protected Health Information (PHI) — Authorization for Release of Protected Health Information
Address
1001 South George Street, York, PA 17403, United States
Voice phone
717-851-2345

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 authorization form to permit the release or disclosure of health information to the requested recipient. Include patient identifiers, dates, and the recipient's name; sign and date the form. Submit via fax or mail as directed by WellSpan Health.

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

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