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

Healthcarehigh confidence

Westside Pediatric Group, LLP fax number

(585) 319-4124

Medical Records / PHI Release

Used for: Receiving and processing medical records requests and PHI (Protected Health Information) release forms.

Fax destination details

Department
Medical Records / PHI Release
Purpose
Receiving and processing medical records requests and PHI (Protected Health Information) release forms.
Form
Release of PHI Authorization — Release of Protected Health Information (PHI) Authorization
Address
497 Beahan Rd, Rochester, NY 14624-3403
Voice phone
585-247-5400

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.

The form explains that authorization is voluntary, may be revoked in writing, that disclosures may be redisclosed if the recipient is not a covered entity, and that charges may apply for records requests.

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.