Maple Street VA Domiciliary Fax Number — Request Your VA Records
Release of information at Maple Street VA Domiciliary runs through a dedicated Release of Information office — this page shows where the authorization goes and how to send it securely. Based in New Haven, Connecticut, Maple Street VA Domiciliary is a VA Domiciliary that serves veterans in residential rehabilitation and recovery programs across southern New England. Because a veteran's chart is protected health information, this guide covers both where to send it and how to keep the transmission compliant.
Maple Street VA Domiciliary Fax Number
Call Maple Street VA Domiciliary and ask whether your document goes to admissions or the records office
Hours: Administrative offices keep weekday business hours, while the program team handles time-sensitive intake during program hours.
Send a Fax NowWhat You Can Fax to Maple Street VA Domiciliary
- A cover sheet naming the exact VA office the fax is for
- A VA Form 21-4142 authorizing VA to obtain records for a benefits claim
- Program paperwork for a Compensated Work Therapy placement
- A screening or assessment supporting a residential admission
- A completed disability, FMLA, or return-to-work form for the provider to review
Getting your VA chart to or from Maple Street VA Domiciliary
To send or request your VA records at Maple Street VA Domiciliary, the request goes through the Release of Information office. The records are released to you or to the person or provider you name once the request is verified. Confirm the current Release of Information fax with Maple Street VA Domiciliary before you send the authorization.
Getting a veteran into the program at Maple Street VA Domiciliary
Getting a veteran into the residential program at Maple Street VA Domiciliary starts with the referral and the screening. A clear referral avoids a back-and-forth that delays a time-sensitive placement. Confirm the current intake fax with Maple Street VA Domiciliary before sending a time-sensitive referral.
The secure way to fax Maple Street VA Domiciliary
Faxing PHI to Maple Street VA Domiciliary is allowed, but the service you use has to protect it. Encryption in transit and a compliant provider are what keep the transmission within the rules. Send FAX Mail encrypts pages in transit and includes HIPAA from the Professional plan at $39.99/month, with the Business plan at $79.99/month for higher volume — a safer route for records going to Maple Street VA Domiciliary than a public machine.
Faxing to Maple Street VA Domiciliary — FAQ
Not one central number. What you send to the Release of Information office will not reach the referral office. Verify the current fax for the Release of Information office or your target office first. Which line is right depends on the office, not the facility as a whole.
Label each page with the veteran's name, date of birth, and the last four of the SSN. On the cover sheet, name the Release of Information office or the receiving office so it lands with the right team. A delivery confirmation then tells you the fax reached Maple Street VA Domiciliary. Complete, legible identifiers are what move the request fastest.
The machines accept faxes around the clock; staff processing depends on the office. Records and referral offices work weekday business hours. Send routine requests early in the day for same-day handling. Routine copies follow the office's normal queue rather than jumping ahead.
Yes, when the transport is compliant. The risk is not the fax itself but an unsecured tool, so a free app or a public machine will not do. Send FAX Mail encrypts pages in transit and includes HIPAA starting at $39.99/month — safer for PHI headed to Maple Street VA Domiciliary than a public machine. Compliance is about how the pages travel, not only where they land at Maple Street VA Domiciliary.
Send the intake referral to admissions and the records request to records. Ask Maple Street VA Domiciliary what the intake referral should include. Include the program requested, the screening, and the veteran's identifiers. Send the whole packet as one job so nothing arrives split. Doing it that way avoids the most common cause of a delay.
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