Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Montana Department of Public Health and Human Services – Immunization Program. Before sending anything sensitive, confirm the number and receiving department directly with Montana Department of Public Health and Human Services – Immunization Program, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Montana Department of Public Health and Human Services – Immunization Program fax number
(406) 444-2920
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Montana DPHHS Immunization Program (imMTrax)
Used for: Submitting immunization record requests and releasing records through Montana's Immunization Information System (imMTrax).
Fax destination details
- Department
- Montana DPHHS Immunization Program (imMTrax)
- Purpose
- Submitting immunization record requests and releasing records through Montana's Immunization Information System (imMTrax).
- Form
- Montana Immunization Information System Authorization to Release Immunization Records (imMTrax) — Montana Immunization Information System Authorization to Release Immunization Records
- Address
- Montana Department of Public Health and Human Services – Immunization Program, P.O. Box 202951, Helena, MT 59620-2951
- Voice phone
- 406-444-5580
- 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.
Complete patient information and receiving organization details; specify the official recipient and reason for request; fax to (406) 444-2920; allow 3 business days for processing; must be signed and dated.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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