Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Via Christi Health (Ascension Via Christi) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Via Christi Health (Ascension Via Christi) fax number
(316) 274-5371
Health Information Management (HIM) Department
Used for: Medical records requests and other protected health information disclosures
Fax destination details
- Department
- Health Information Management (HIM) Department
- Purpose
- Medical records requests and other protected health information disclosures
- Form
- VAADMIN020 — Authorization for Use or Disclosure of Protected Health Information (PHI)
- Address
- 1947 Founders Circle, Wichita, KS 67206
- Voice phone
- 316-274-4995
- 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 all sections of the PHI authorization form (VAADMIN020 Rev. 03/2022). Indicate the PHI requested, dates of treatment, purpose, and expiration (default to 1 year). Sign and date; submit to HIM Department at 1947 Founders Circle, Wichita, KS 67206 or fax to 316-274-5371 or 316-274-5372. For radiology images, use Fax 316-274-8785. Processing may take up to 12 business days; for status, contact HealthPort at 1-800-367-1500.
Official form instructions are published as a downloadable file on the organization's website.
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