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WhidbeyHealth Medical Center fax number

(360) 678-7623

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

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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