Wellfound Behavioral Health Hospital fax number

Fax destination details

Department

Health Information Management (HIM) / Medical Records

Purpose

Medical records release / Release of Information (ROI) requests

Form

Release of Information Authorization — Release of Information Authorization Form

Address

3402 South 19th Street, Tacoma, WA 98405

Voice phone

253-301-5447

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 ROI form with patient details, purpose (continuity of care by default), and specific information to disclose. Indicate release format, who to release to, and where to send. Include patient name, DOB, address, phone, and signature. The form must be signed and dated; expiration is typically 1 year unless otherwise specified. A copy or fax of the form is valid in lieu of the original; fees may apply for copies per state regulations.

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