MEDICAL RECORDS RELEASE
To release medical records, we would like to have a completed authorization form. You must be 18 years of age or the parent or legal guardian of a minor. Follow these instructions to ensure smooth processing of your request:
· Download and print Release of Information Authorization.
(You must be 18 years of age or the parent or legal guardian of a minor)
· Fill out the form as completely as possible.
· Include the name and address the records should be released to.
· Be as specific about the information you'd like released.
· Mail the authorization form to the appropriate location.
Cavalier County Memorial Hospital
Langdon ND 58249