Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with The University of Kansas Health System before sending sensitive documents. FaxFlow is not affiliated with this organization.
The University of Kansas Health System fax number
(913) 588-2495
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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