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Women's Care of Alaska fax number

(907) 258-7705

OB-GYN (Obstetrics and Gynecology)

Used for: Authorization to Release Medical Information

Fax destination details

Department
OB-GYN (Obstetrics and Gynecology)
Purpose
Authorization to Release Medical Information
Form
Authorization to Release Medical Information — Authorization to Release Medical Information
Address
2741 DeBarr Road, Suite C205, Anchorage, AK 99508
Voice phone
(907) 279-2273

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 details, specify records to release, recipient, and dates, then sign. Fax the completed form to (907) 258-7705.

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