# Essentia Health fax number for records authorization forms

Find Essentia Health’s fax for Authorization for Use and Disclosure of Protected Health Information forms.

Country: United States
Category: Healthcare
Last reviewed: 2026-10-04 (published sources, not a test transmission)

## Which Essentia Health fax number should I use?

The form limits this fax to authorization forms. Use it to request release of records, not to send a general question, referral or unrelated clinical paperwork. Identify the records and delivery recipient in the form.

## Essentia Health: Medical records (authorization forms)

Fax: +1 920 593 3114
E.164: +19205933114

Requests for copies or release of the records held by this office.

Use only when: Match the facility and service where care was received. Complete the requested authorization; records intake does not establish a referral or appointment channel.

[Essentia Health — records request instructions](https://www.essentiahealth.org/-/media/Project/Essentia/Essentia/pages/documents/Medical-Records-Authorization.pdf) — reviewed 2026-10-04

## What to include in your fax to Essentia Health

Send the completed authorization, with patient details, treatment dates, records requested and signatures. Follow the form’s instructions for any specially protected records.

## Check the destination and prepare your cover page

Name the receiving department and the hospital, clinic or service involved. Add the document title, page count and a callback number. Put patient identifiers and authorization details in the fields the official form requests; a cover page does not replace signed consent.

Check the official source and recipient instructions before sending. A reviewed source confirms a published number, not live availability.

## Confirm delivery and follow up with Essentia Health

These are fax destinations, not voice support lines. Keep the transmission result and a copy of the documents. Confirm with the receiving department that the packet is complete and can be processed; a delivery receipt does not establish acceptance or a decision. Check with that department before sending a duplicate.

## How to fax Essentia Health without a fax machine

Prepare a legible PDF, verify the department and number, review the pages and authorize sending. DearFax supports [online sending](https://dearfax.com/send-fax-online) and workflows with [ChatGPT](https://dearfax.com/chatgpt) or [Codex](https://dearfax.com/codex) through [MCP](https://dearfax.com/mcp). Retain the transmission result.

Healthcare organizations should confirm their compliance requirements before selecting a fax service. DearFax does not currently offer HIPAA compliance.

## Frequently asked questions

### What Essentia Health fax number should I use?

Essentia Health: Medical records (authorization forms): +1 920 593 3114. The form limits this fax to authorization forms. Use it to request release of records, not to send a general question, referral or unrelated clinical paperwork. Identify the records and delivery recipient in the form.

### Can I fax a general letter or medical question to Essentia’s records fax?

The source says this fax is for authorization forms only. Use the appropriate care team or customer contact for other correspondence.

### What documents can I fax to Essentia Health?

Send the completed authorization, with patient details, treatment dates, records requested and signatures. Follow the form’s instructions for any specially protected records.

### What should I put on a fax cover page for Essentia Health?

Name the receiving department and the hospital, clinic or service involved. Add the document title, page count and a callback number. Put patient identifiers and authorization details in the fields the official form requests; a cover page does not replace signed consent.

### How can I fax Essentia Health without a fax machine?

Prepare your documents as a legible PDF and confirm the recipient’s submission requirements. You can use DearFax in your browser or prepare the fax with ChatGPT or Codex through MCP. Review the number and pages before authorizing the send, then keep the transmission result. Healthcare organizations should check their compliance requirements; DearFax does not currently offer HIPAA compliance.

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