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Kansas Gastroenterology LLC fax number

(316) 261-3275

Gastroenterology

Used for: Medical records release / authorization to release medical information; appointment confirmations and test result communications

Fax destination details

Department
Gastroenterology
Purpose
Medical records release / authorization to release medical information; appointment confirmations and test result communications
Form
Authorization To Release Medical Information — Authorization To Release Medical Information Form
Address
3121 N Webb Rd Ste 101, Wichita, KS 67226-8119
Voice phone
+1-316-261-3130

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  • Keep the delivery confirmation with your submission records.

Fill patient details; specify records to release (e.g., Abdominal Imaging, Procedures, Hospital Records, Labs, Pathology); sign and date; processing fees may apply (e.g., $25 for records over 10 pages; $30 per occurrence for certain forms); expiration typically 1 year or as indicated.

Official form instructions are published as a downloadable file on the organization's website.

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