Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by The University of Kansas Health System. Before sending anything sensitive, confirm the number and receiving department directly with The University of Kansas Health System, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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The University of Kansas Health System fax number
(913) 588-2495
Wrong or outdated? Report this number
Health Information Management (HIM) / Release of Confidential Information (ROI)
Used for: Request medical records / Release of confidential health information
Fax destination details
- Department
- Health Information Management (HIM) / Release of Confidential Information (ROI)
- Purpose
- Request medical records / Release of confidential health information
- Form
- MRD-1076 — Authorization for the Release of Confidential Information
- Address
- 4000 Cambridge St, MS 9345, Kansas City, KS 66160
- Voice phone
- 913-588-2454
- 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 the authorization form with patient details, specify the recipient of the records, dates of service, and the PHI to be released; sign and date; submit via mail, email, or fax to Health Information Management. Be aware there may be copying fees. Return to ROI@kumc.edu or fax 913-588-2495.
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