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

(866) 609-7402

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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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