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North Central Health Care fax number

(715) 842-2017

Health Information Management

Used for: Release of patient health information / health records requests

Fax destination details

Department
Health Information Management
Purpose
Release of patient health information / health records requests
Form
Release of Information form — Release of Information
Address
Health Information Management, 2400 Marshall Street, Suite A, Wausau, WI 54403
Voice phone
715-845-4326

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 in patient name, date of birth, and MRN; indicate the information to disclose; specify purpose; sign and date; return to Health Information Management via mail, fax (715-842-2017), or E-fax (715-261-0328).

Official form instructions are published as a downloadable file on the organization's website.

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