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

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Salem Clinic fax number

(503) 361-3780

Health Information Management / Medical Records

Used for: Medical records release and Release of Information (ROI) requests

Fax destination details

Department
Health Information Management / Medical Records
Purpose
Medical records release and Release of Information (ROI) requests
Form
Release of Information (ROI) — Release of Information (ROI) form
Address
2020 Capitol Street NE, Salem, OR 97301
Voice phone
503-375-7407

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 the ROI form with patient demographics, purpose, type of information, timeframe, format/delivery, and signatures; ROI is typically valid for 180 days; include recipient information; contact Health Information Management for help at 503-375-7407.

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

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