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Mental Health Review Panel (Alberta) fax number

(866) 971-2112

Mental Health Review Panel

Used for: Submit the Application for Review Panel Hearing (Form 12) to the nearest panel chair by fax or mail. Edmonton/North and Calgary/South regions share fax number 1-866-971-2112; Central Alberta uses 587-815-5210.

Fax destination details

Department
Mental Health Review Panel
Purpose
Submit the Application for Review Panel Hearing (Form 12) to the nearest panel chair by fax or mail. Edmonton/North and Calgary/South regions share fax number 1-866-971-2112; Central Alberta uses 587-815-5210.
Form
Form 12 — Application for Review Panel Hearing
Address
Mailing address for applications: Mental Health Review Panel, PO Box 53033, 14035 105 Avenue NW, Edmonton, Alberta T5N 4A8

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  • 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 Form 12 and send it by fax or mail to the Mental Health Review Panel chair nearest to you. The roster page provides regional contact and submission instructions.

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