Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Marshfield Clinic Health System before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Marshfield Clinic Health System fax number

(715) 221-5847

Health Information Management

Used for: Release of Information (ROI) / medical records request

Fax destination details

Department
Health Information Management
Purpose
Release of Information (ROI) / medical records request
Form
Release of Information Authorization — Release of Information Authorization
Address
1000 North Oak Avenue, Marshfield, WI 54449, USA

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.

Complete sections A–E to request release of records; indicate specific records to release, dates, and purpose; patient signature and date; choose release method/format; mail to MCHS ROI at 1000 North Oak Avenue, Marshfield, WI 54449 or fax to 715-221-5847; for status of the request, call 1-800-782-8581 ext. 93676 or email medicalrecords@marshfieldclinic.org.

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