Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Avera McKennan Hospital & University Health Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
Avera McKennan Hospital & University Health Center fax number
(605) 322-8200
Health Information Management (HIM) / Release of Information
Used for: Release of medical records requests under HIPAA (HIPAA Authorization for Disclosure of Health Information).
Fax destination details
- Department
- Health Information Management (HIM) / Release of Information
- Purpose
- Release of medical records requests under HIPAA (HIPAA Authorization for Disclosure of Health Information).
- Form
- Form 8691-04 — HIPAA Authorization for Disclosure of Health Information
- Address
- 1325 South Cliff Avenue, Sioux Falls, SD 57105
- Voice phone
- 605-322-8000
- 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.
Complete Avera's HIPAA Authorization for Disclosure of Health Information (Form 8691-04). Include patient name, date of birth, service dates, records requested, recipient name, purpose, and expiration. Submit to the HIM/ROI department via fax at 605-322-8200 or via other approved submission methods.
Sources and verification
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