Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Mamaway Wiidokdaadwin Indigenous Interprofessional Primary Care Team before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Mamaway Wiidokdaadwin Indigenous Interprofessional Primary Care Team fax number

(855) 941-2531

Orillia Clinic - Mamaway Wiidokdaadwin

Used for: Referral submission and PHI disclosure consent for Mamaway Wiidokdaadwin Indigenous Interprofessional Primary Care Team; used for referrals to the clinic and related health documentation.

Fax destination details

Department
Orillia Clinic - Mamaway Wiidokdaadwin
Purpose
Referral submission and PHI disclosure consent for Mamaway Wiidokdaadwin Indigenous Interprofessional Primary Care Team; used for referrals to the clinic and related health documentation.
Form
Referral Consent Form — MWIIPCT Referral Consent Form
Address
Orillia Clinic, 210 Memorial Ave, Unit 112A&B, Orillia, ON L3V 7V1
Voice phone
705-259-9520

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, consent to disclose health information to referred services (e.g., Indigenous Navigator, Traditional Healing, Mental Health & Addictions). Sign and submit via fax.

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

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