Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Mayo Clinic Health System Wisconsin (MCHS WI) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Mayo Clinic Health System Wisconsin (MCHS WI) fax number
(715) 838-3058
Health Information Management Services (ROI)
Used for: Authorization to Release Protected Health Information to a Third Party; release of medical records to third parties
Fax destination details
- Department
- Health Information Management Services (ROI)
- Purpose
- Authorization to Release Protected Health Information to a Third Party; release of medical records to third parties
- Form
- Authorization to Release Protected Health Information to a Third Party — Authorization to Release Protected Health Information to a Third Party
- Address
- 1400 Bellinger Street, Eau Claire, WI 54703-5211
- Voice phone
- 715-838-6395
- 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 name, birth date, and contact details; select Mayo Clinic or other recipient; specify which records to release; sign and date; submit to Health Information Management Services (ROI) for processing.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.