Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Golden Valley Memorial Healthcare before sending sensitive documents. FaxFlow is not affiliated with this organization.
Golden Valley Memorial Healthcare fax number
(660) 885-5012
Health Information Management (HIM)
Used for: Receiving medical records / health information requests (records release to/from Golden Valley Memorial Healthcare).
Fax destination details
- Department
- Health Information Management (HIM)
- Purpose
- Receiving medical records / health information requests (records release to/from Golden Valley Memorial Healthcare).
- Form
- ROI GV-1218 — Authorization to Use and/or Disclose Health Information
- Address
- 1600 N Second Street, Clinton, MO 64735
- Voice phone
- (660) 885-5511
- 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 patient/guardian information, recipient/organization details, purpose of disclosure, dates, and sign; select whether records are to be released or obtained; note any restrictions; copy provided to patient; 90-day validity.
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.