CVS Pharmacy: Authorization for Disclosure of PHI (prescription records)
Return the completed authorization required for this account or service.
Find separate CVS Pharmacy and MinuteClinic fax numbers for release of health information.
Return the completed authorization required for this account or service.
Signed requests for records held by this hospital, clinic or care service.
Choose CVS Pharmacy for prescription records and MinuteClinic for clinic-visit records. These are disclosure authorization destinations. They are not a store’s prescription intake fax or a CVS Caremark benefit appeal route.
Use the CVS Pharmacy disclosure authorization for prescription information or the MinuteClinic authorization for clinic records. State the dates and recipient of the records and sign the appropriate form.
Name the receiving department and the hospital, clinic or service involved. Add the document title, page count and a callback number. Put patient identifiers and authorization details in the fields the official form requests; a cover page does not replace signed consent.
Open the official source above and check the current instructions. A reviewed source confirms a published number, not live availability. Toll-free numbers can still incur sending-service or international charges.
Keep the transmission result and a copy of the documents. Confirm with the receiving department that the packet is complete and can be processed; a delivery receipt does not establish acceptance or a decision. These are fax destinations, not voice support lines. Check with CVS Pharmacy and MinuteClinic before sending a duplicate.
Prepare a legible PDF, confirm the department and number, and review all pages before authorizing the fax. With DearFax, you can send online or prepare a workflow through ChatGPT, Codex and MCP. Save the transmission result with your records.
Healthcare organizations should confirm their compliance requirements before selecting a fax service. DearFax does not currently offer HIPAA compliance.
Frequently asked questions