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Medical Records


Release of Health Information

Protecting your health information is important to us.  It may be necessary for you to request copies of your health record.  To do so, please complete an Authorization to Disclose Health Information form.  Please remember to sign and date the release form.  Fax the completed form, along with a copy of your Driver’s License or other photo ID, to 320-231-4833 or mail to:

ATTN:  HIS – Release of Information
Rice Memorial Hospital
301 Becker Ave SW
Willmar, MN 56201

Download the Authorization to Disclose Health Information form...

If you have questions on the authorization process, please call the Health Information Services (HIS) Department at 320-231-4271 between the hours of 7am and 5pm

Frequently Asked Questions

 

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