Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Kaiser Permanente Hawaii Region (Kaiser Foundation Health Plan, Inc.) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Kaiser Permanente Hawaii Region (Kaiser Foundation Health Plan, Inc.) fax number

(866) 609-7402

Release of Information / Health Information Management (HI-ROI)

Used for: Requesting and receiving medical records or PHI; processing PHI release requests; records forms and certifications

Fax destination details

Department
Release of Information / Health Information Management (HI-ROI)
Purpose
Requesting and receiving medical records or PHI; processing PHI release requests; records forms and certifications
Form
PHI Release / Authorization for Release of Protected Health Information — Authorization for Release of Protected Health Information (PHI) form
Address
Health Information Management, Kaiser Permanente Hawaii, 711 Kapiolani Blvd, Honolulu, HI 96813
Voice phone
(808) 432-5092

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.

Fill out the PHI release form and submit per ROI instructions; fax to ROI at 866-609-7402; then contact HI-ROI for further processing

Review official form instructions

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