UT Medical Center

Cancer Institute Beta

Provider Request for Protected Health Information


Provider Requesting Information:
University Breast Center
1926 Alcoa Hwy Building F Suite: 120
Knoxville, TN. 37920
Phone# 865-305-9629 Fax # 865-305-8869


Mail To:




Patient Information




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History and Physical

Discharge Summary

Operative Report

Mammogram Imaging/Ultra-Sound imaging and Reports

Pathology Slides


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UBC STAFF