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Kansas City Board of Public Utilities fax number
(913) 573-9070
Life Support Program
Used for: Submitting Medical/Life Support documentation (Life Support Program)
Fax destination details
- Department
- Life Support Program
- Purpose
- Submitting Medical/Life Support documentation (Life Support Program)
- Form
- Medical / Life Support Form — Medical / Life Support Customer Application
- Address
- 540 Minnesota Avenue, Kansas City, KS 66101
- Voice phone
- (913) 573-9190
- Website
- Visit organization website
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Complete Sections 1-3; physician completes Section 2; authorization to release medical information; this application must be renewed annually; submit to Kansas City Board of Public Utilities (Life Support Program) at 540 Minnesota Avenue, Kansas City, KS 66101 or fax to 913-573-9070; email: collections@bpu.com.
Official form instructions are published as a downloadable file on the organization's website.
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