Essentia Health Fax Number for Medical Records

One line, and it takes one kind of document

Essentia Health prints the submission block on its Authorization for Use and Disclosure of Protected Health Information form, and the instruction is specific. Beside the fax number it says: "Use this fax number to submit only Authorization Forms."

So (920) 593-3114 is the destination for a signed authorization form and not for correspondence, status questions or general paperwork. Status questions go to the Release of Information office by phone, or by email to the address printed on the form. Essentia Health uses an outside Release of Information vendor to fulfil requests, which is why the status contact and the submission contact differ.

The alternatives to faxing are the online request tool on essentiahealth.org, email to ReleaseOfInformation@EssentiaHealth.org, and mail to Essentia Health - HIM, 502 East Second Street, Duluth, MN 55805.

What patients fax Essentia Health

• The signed authorization form, releasing your chart to yourself or to a new provider
• A request for clinic notes, lab results, operative reports, pathology reports, imaging reports, immunizations or a medication list
• Outside records going the other direction, when an Essentia physician needs history from a clinic you saw elsewhere
• Disability, FMLA or school paperwork an Essentia physician has completed

Behavioral health information is released along with the rest unless you initial to restrict it, and substance use disorder records require a separate initial and a date range. Radiology films and pathology slides are sent directly to the facility you name in the delivery section rather than to you. A completed authorization is one page, which sends free on every FaxTerra account.

Verify the number before you send

The authorization names you, your date of birth, your medical record number and the records you want released. Confirm the destination first:

• Download the authorization form from essentiahealth.org and read the fax number in the submission block at the bottom of the form you actually downloaded. Essentia revises this form, and the revision code is printed in the corner.
• Send only the authorization form to that line. Correspondence sent there is not the document the office is set up to process.
• Call the Release of Information phone number printed beside the fax number and ask the specialist to confirm it before you send.
• Skip fax numbers from third-party form sites. Several republish an older revision of the Essentia form.

How to fax Essentia Health without a fax machine

Create a free FaxTerra account with an email address, upload the signed authorization as a PDF or as photos taken with your phone, enter the Essentia Health fax number, and send. Delivery confirmation arrives by email, which is the receipt to keep while the request is fulfilled.

A one-page form sends free within your monthly free pages. See how to send a fax for accepted files and page limits, faxing medical records for the wider process, and Allina Health if you are collecting records from more than one Minnesota system.