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WhidbeyHealth Medical Center fax number
(360) 678-7623
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Health Information Management (Medical Records)
Used for: Release of health information / medical records requests via Authorization to Disclose Health Information (ROI) form; faxed to the Medical Records Department.
Fax destination details
- Department
- Health Information Management (Medical Records)
- Purpose
- Release of health information / medical records requests via Authorization to Disclose Health Information (ROI) form; faxed to the Medical Records Department.
- Form
- Authorization to Disclose Health Information — Authorization to Disclose Health Information
- Address
- 101 North Main Street, Coupeville, WA 98239-3413
- Voice phone
- 360-678-5151
- 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 ROI form to specify recipient, dates, and what records to release; sign and date; fax to 360-678-7623 or mail to 101 North Main Street, Coupeville, WA 98239.
Official form instructions are published as a downloadable file on the organization's website.
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