Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Montana Department of Public Health and Human Services – Immunization Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
Montana Department of Public Health and Human Services – Immunization Program fax number
(406) 444-2920
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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