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Kansas Gastroenterology LLC fax number
(316) 261-3275
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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
- 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.
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.
Sources and verification
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