We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Mailing Address: - Bmc

Get Mailing Address: - Bmc

999860 AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) Mailing Address: Medical Record Department 850 Harrison Avenue/ACC Basement Boston, MA 02118 Fax: Phone: 6174144210 6174144213.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Mailing Address: - Bmc online

Completing the Mailing Address section of the Bmc document is an important step in ensuring that your request for the release of protected health information is processed correctly. This guide provides clear, step-by-step instructions to assist you in filling out this section accurately and efficiently.

Follow the steps to fill out the Mailing Address section of the Bmc document

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
  2. Locate the 'Mailing Address' section in the document. This is where you will provide the address where the protected health information should be sent.
  3. In the first line, input the name of the department or organization. For example, enter 'Medical Record Department'.
  4. On the next line, enter the specific address. Include the street address (e.g., '850 Harrison Avenue/ACC Basement') and the city (e.g., 'Boston').
  5. In the following fields, indicate the state (e.g., 'MA') and zip code (e.g., '02118'). Make sure to format your entries correctly.
  6. If necessary, include a fax number or phone number for further communication. In this case, you can enter '617-414-4210' or '617-414-4213'.
  7. If you wish to specify an alternate address, fill out the 'ALTERNATE ADDRESS' section with the relevant details, ensuring you include all necessary components: street, city, state, and zip code.
  8. Review the entire Mailing Address section for accuracy before finalizing.
  9. Once all required fields are completed, save your changes. You can also choose to download, print, or share the completed form as needed.

Complete your documents online with confidence today!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

QSG 705c Special Standards Parcel Post BMC and...
address. Fees: There is no annual mailing fee for BMC Presort or OBMC Presort mail. Small...
Learn more
Mailroom | Bryn Mawr College
Welcome to the BMC Mailroom! All student mail and packages should be addressed as follows:...
Learn more
British Leyland - Wikipedia
British Leyland was an automotive engineering and manufacturing conglomerate formed in the...
Learn more

Related links form

Ad 22 Attorney Deceit Statutes FIVE NOTETAKING METHODS - University Of Redlands - Redlands To Download A Copy Of The CPS Timeline And Acronyms ... - TYLA - Tyla

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Contact the BMC Patient Advocacy office at 617.414. 4970 to report concerns, problems or complaints about your care or service.

About The Program. MassHealth pays for healthcare for certain low- and medium-income people living in Massachusetts. MassHealth offers healthcare benefits directly or by paying part or all of your health insurance premiums.

You will always speak to a live clinician. To initiate services, call the toll-free 24-Hour Hotline: 1-800-981-HELP (4357).

Make an Appointment by Phone If you need help finding a phone number, call us at 617.638. 8000.

You may either enter a ticket on the ServiceNow site or call the BMC Help Desk at 617.414. 4500.

Are there Human Resources drop in times? Human Resources drop in availability has been impacted by the COVID-19 situation. Please call (617) 353-2380 to schedule a time to speak to an HR representative if you have specific detailed questions.

Boston Medical Center is located off of Route 93 in Boston's Historic South End. Beginning in mid-2022, BMC has embarked on a campus redesign.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Mailing Address: - Bmc
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232