Please do not use this form to transmit PHI (information such as SSN, DOB, medical history.) Instead, use our secure email platform.
To reach any of our offices or staff you can call us at 877-622-6700.
For a list of all of our offices, click here.
(for authorizations before 8:00 am, after 4:30 pm, weekends, or holidays)
Toll-Free: (800) 285-6425
Our Administration Office is located at:
3349 Church Street
Stevens Point, WI 54481