Corporate Wellness Forms

If you are one of our corporate participants and you would like Mobile Health Team to send information/records to another entity including a healthcare provider or yourself, you may fill out this release form and send it back to our office at fax number 844-885-9574 or mail it to Mobile Health Team, PO Box 1050, Neenah, WI 54957.  

Release of Info From MHT to another entity

If you would like Mobile Health Team to have access to your medical information, you may fill out this form and send it back to our office at fax number 844-885-9574 or mail it to Mobile Health Team, PO Box 1050, Neenah, WI 54957.