Records page: 'Fax Your Record Requests Here' for patients and healthcare providers; questions on where to submit imaging requests -> 860-289-3375 ext. 8276 option 2 (Revenue Services). Attorney requests and ChartSwap (Optum) requests use online forms; drop-off not accepted.
Image Release Authorization form: fax the signed form to transfer a patient's prior imaging from another facility to Jefferson Radiology (at least 14 days before the appointment); file room questions at ext. 86004. Form dated 06/2021.
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