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Winchester Gastroenterology Associates fax number

(540) 662-1187

Gastroenterology

Used for: Medical records submission/transfer; new patient intake forms and releases of medical information.

Fax destination details

Department
Gastroenterology
Purpose
Medical records submission/transfer; new patient intake forms and releases of medical information.
Form
Authorization to Treat, to Pay Benefits to Provider, and to Release Information Related to Medical Services Provided — Authorization to Treat, to Pay Benefits to Provider, and to Release Information Related to Medical Services Provided
Address
190 Campus Blvd, Suite 300, Winchester, VA 22601
Voice phone
540-667-1244

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Fill out patient information, sign and date; use to release medical records or information to Winchester Gastroenterology Associates.

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