Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Ortho Montana before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Ortho Montana fax number

(406) 272-3395

Orthopedic Surgery

Used for: Medical records requests and authorization to disclose protected health information; used to transmit patient records and PHI between patient and Ortho Montana.

Fax destination details

Department
Orthopedic Surgery
Purpose
Medical records requests and authorization to disclose protected health information; used to transmit patient records and PHI between patient and Ortho Montana.
Form
Authorization to Use or Disclose Protected Health Information — Authorization to Use or Disclose Protected Health Information
Address
2900 12th Ave North, Yellowstone Medical Center, Suite 140W, Billings, MT 59101
Voice phone
406-237-5050

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, date range for records, and the recipient's name/address; specify the types of information to disclose; sign and date; fax back to the facility.

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

Sources and verification

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