Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Altru Health System before sending sensitive documents. FaxFlow is not affiliated with this organization.
Altru Health System fax number
(701) 780-1047
Release of Information
Used for: Release of medical records / authorization for release of information
Fax destination details
- Department
- Release of Information
- Purpose
- Release of medical records / authorization for release of information
- Form
- Release of Information Authorization Form — Authorization for Release of Information
- Address
- Altru Health System – Release of Information, 1200 S Columbia Rd, Grand Forks, ND 58206-6002 (mailing address); ROI intake at Grand Forks location
- Voice phone
- 701-780-6145
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Download the Release of Information Authorization Form from altru.org, fill in required fields (patient name, birth date, contact info, which records to release, recipient, purpose, delivery method, date needed, and signature). Sign and submit via mail or in person to the ROI office. The form must be completed in full and signed to be valid; it expires one year after signing unless otherwise specified.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.