Medical Records
Authorization for Release of Medical Information
Our Medical Recoreds/Health Information Department will be happy to send your records to your regular physician or physician that you are following up with.
Authorization for Release of Medical Information can be done by downloading and completing the form below. Or call 218-387-3040 and ask to speak with the Medical Records/Health Information Department and an authoziation form will be mailed, faxed or emailed to you. Authorization for Release of Medical Information (Word 26KB)
Mail the completed form to |
Or fax to |
CCNSH |
218 387 3502 |
There is no charge for records to be sent on to a physician or clinic for continuation of care. There is a $16.03 retrieval fee and $1.22 per page fee if you want them for other reasons.