Release of Medical Information HIPAA Authorization Form

300 Oak Street NE, Albuquerque, NM 87106

Medical Practice

Phone:505-855-5525

Fax: 505-884-4006

Billing:505-855-5525

Emergency: 505-857-3844

Research Center

Phone: 505-855-5505

Fax: 505-855-5506

Emergency: 505-857-3844

Study Recruiter: 505-923-3232