Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Wellpoint Care Network, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Wellpoint Care Network, Inc. fax number
(414) 260-8980
Outpatient Behavioral Health Clinic
Used for: Medical records request
Fax destination details
- Department
- Outpatient Behavioral Health Clinic
- Purpose
- Medical records request
- Form
- Records release / authorization form — Authorization for Release of Information
- Address
- 8901 W. Capitol Drive, Milwaukee, WI 53222-1706
- Voice phone
- 414-465-5770
- 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.
Fill out the Authorization for Release of Information form and submit with proof of identification via fax to 414-260-8980, or by email or in-person at Wellpoint Care Network, 8901 W. Capitol Drive, Milwaukee, WI 53222.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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