HOME/ MYCHART/ BILL PAY/ ABOUT US/ SPECIALTIES & SERVICES/ FORMS & RESOURCES/ CAREERS/ LOCATIONS/ CONTACT Contact To schedule an appointment or to speak to your provider’s office for patient care issues, call 406-721-5600 or visit MyChart. Western Montana Clinic 500 W. Broadway PO Box 7609 Missoula, MT 59807 Phone: (406) 721-5600 Fax: (406) 721-3907 Administration (406) 329-7224 Laboratory Orders To Schedule an Appointment To schedule an appointment or establish care with a provider, please call 406-721-5600. Billing and Insurance Questions Name * First Name Last Name Guarantor Account Number Phone * (###) ### #### Message * Medical Records To receive a copy of your medical records, please print the Authorization for Release of Information. After completing the form, send it to the address or fax number on the form. To print the Authorization for Release of Information form, click here. General Questions Please use MyChart to communicate with your provider and their office. Do not send personal or health information in this form as this is a general email box and not secure. Name * First Name Last Name Email * Subject * Message * Employment Inquiries Physician Careers Staff Careers Connect With Us On Social Media Western Montana Clinic Facebook Contact Us | Forms | Your Opinion | Online Privacy Policy Language Assistance Available - Western Montana Clinic Notice of Non-Discrimination Copyright © 2021 - Western Montana Clinic - All Rights Reserved Western Montana Clinic uses cookies and other technologies, some of which are essential to make our website work. Others help us improve services and the user experience or to advertise. In using our site, you consent to the use of these cookies and other technologies. Learn more about our Online Privacy Policy, cookies and other technologies we use.