Medical Records Request & Contact for MENOMONIE DENTAL, LLC
Facility details, verified records department channels, and expected turnaround times for MENOMONIE DENTAL, LLC in MENOMONIE, WI.
Acute Health Directory provides verified contact channels and legal delivery guidance to request medical records from MENOMONIE DENTAL, LLC in MENOMONIE, WI. Registered in the National Plan and Provider Enumeration System (NPPES) under NPI 1972016830. Authorized patients, law firms, insurance adjusters, and medical retrieval specialists can submit requests directly or utilize our 1-click expedited dispatch.
Records Department Delivery Channels & Contact
Want Acute to retrieve records from MENOMONIE DENTAL, LLC for you?
Our team handles the authorization dispatch, daily custodian follow-up, and statutory 30-day HIPAA turnaround enforcement for a flat $15. No phone tag, hold times, or subscription required.
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Wisconsin guarantees one free copy to patients or representatives.
WI Medical Records Fee & Turnaround Estimator
Under WI law, healthcare providers and copy services may charge requestors statutory preparation fees. Estimate your costs below:
*First 10 requests free for new law firms and insurance carriers. We handle direct HIM follow-up, HIPAA compliance, and tracking.
Available Records Types
- •Complete Medical Chart — Physician notes, history, physicals, and progress reports.
- •Billing & Invoices — Itemized billing, UB-04, and CMS-1500 insurance claim forms.
- •Diagnostic Radiology — MRI, CT, X-Ray reports and DICOM imaging files on CD/digital.
- •Pathology & Labs — Bloodwork, surgical specimens, and toxicological analysis.
Required Authorization Form
- •HIPAA Compliant Release — Must be signed and dated by the patient within the past 12 months.
- •Patient Identification — Full legal name, date of birth, and Social Security / MRN.
- •Legal Representative Proof — Letters of Administration, Power of Attorney, or retainer (if third party).
- •Specific Date Scope — Must specify treatment dates and records categories requested.
How to Submit a Request to MENOMONIE DENTAL, LLC
Follow this standard protocol to prevent request rejections and ensure prompt fulfillment.
Important: Acute Health Directory provides verified contact information and automated request transmission. MENOMONIE DENTAL, LLC produces and releases records directly to the authorized requester in accordance with HIPAA regulations.
Standard Fulfillment Steps
- Select Request Method: Choose whether you want verified contact details to submit yourself or have Acute Directory dispatch on your behalf.
- Confirm Facility Match: Verify MENOMONIE DENTAL, LLC in in MENOMONIE, WI matches the provider where treatment occurred.
- Attach Authorization Form: Upload a valid HIPAA release or subpoena duces tecum signed by the patient or authorized representative.
- Transmission to HIM Department: The request is routed via verified fax or certified postal mail directly to the records custodian.
- Official Processing: The facility reviews the release and furnishes records within the expected turnaround window (30 Calendar Days).
- Direct Delivery: The facility delivers records directly to your designated mailing address, email, or secure portal.
Frequently Asked Questions
How do I request medical records from MENOMONIE DENTAL, LLC?
Submit a signed, HIPAA-compliant authorization form to their Health Information Management (HIM) department via verified fax, certified mail, or electronic request. Acute Health Directory allows you to dispatch requests directly with tracked delivery.
What is the medical records phone number for MENOMONIE DENTAL, LLC?
The verified medical records phone number for MENOMONIE DENTAL, LLC is (715) 235-••••. Authorized requestors can call this direct line for custodian intake, fee confirmations, or status follow-ups.
What is the method to send the request for records to MENOMONIE DENTAL, LLC?
The primary method to send the request for records to MENOMONIE DENTAL, LLC is via verified HIPAA medical records fax (verified on file), certified postal mail to 1603 STOUT RD, MENOMONIE, WI, 54751-2989, or 1-click automated delivery through Acute Health Directory.
What is the medical records fax number for MENOMONIE DENTAL, LLC?
Requests to MENOMONIE DENTAL, LLC can be served via postal mail to their registered address at 1603 STOUT RD, MENOMONIE, WI, 54751-2989 or dispatched via Acute Health Directory.
What is the expected turnaround time for medical records from MENOMONIE DENTAL, LLC in WI?
Under Wis. Stat. § 146.83, the expected turnaround time is 30 Calendar Days. Wisconsin guarantees one free copy to patients or representatives.
What are the statutory medical records copy fees in WI?
Under Wis. Stat. § 146.83, medical records copy fees are regulated. Paper records: Patient: free first copy; Third party: $1.00/pg (1-25), $0.75/pg (26-50), $0.50/pg thereafter. Digital records: Actual direct cost of electronic media. Explore the full 50-State Statutory Fee Guide for state-by-state statutory breakdowns and cost-limit provisions.
Nearby Medical Records Departments in WI
Explore adjacent verified healthcare facilities and medical records contact channels in this service area.