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Woman's Clinic For Breast & Gynecological Imaging fax number
(832) 804-8120
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Radiology (Mammography)
Used for: Medical imaging communications; sending/receiving imaging reports and medical records (e.g., mammograms, ultrasounds) and medical release requests
Fax destination details
- Department
- Radiology (Mammography)
- Purpose
- Medical imaging communications; sending/receiving imaging reports and medical records (e.g., mammograms, ultrasounds) and medical release requests
- Form
- Medical Release Form — Medical Release Form
- Address
- 2424 W Holcombe Blvd, Suite 102, Houston, TX 77030-1934
- Voice phone
- (832) 804-8119
- Website
- Visit organization website
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 patient name, date of birth, and signature; indicate which mammogram/breast ultrasound images and reports to send; request imaging CDs and reports.
Official form instructions are published as a downloadable file on the organization's website.
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