Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with PeaceHealth before sending sensitive documents. FaxFlow is not affiliated with this organization.
PeaceHealth fax number
(360) 527-9383
Health Information Management (ROI Services)
Used for: Request for Copy of Protected Health Information (PHI) - Release of Information
Fax destination details
- Department
- Health Information Management (ROI Services)
- Purpose
- Request for Copy of Protected Health Information (PHI) - Release of Information
- Form
- SYS1001 — Request for Copy of Protected Health Information
- Address
- 1115 SE 164th Ave., Dept 336, Vancouver, WA 98683
- 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 SYS1001 with patient details, dates, and delivery method; submit by fax to 360-527-9383, by email to releaseofinfo@peacehealth.org, or by mail to PeaceHealth HIM ROI, 1115 SE 164th Ave., Dept 336, Vancouver, WA 98683. Processing times: 15 business days in Washington; 30 days in Oregon and Alaska.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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