Release of Information

There are many reasons why you may need a copy of your medical records.

SMDC Health System protects the confidentiality of your medical records. That’s why we require you to fill out and sign a form called the Authorization for Use and Disclosure of Protected Health Information. Once we receive a signed copy of this completed form, we usually can process your request within five business days.

To print an authorization form to fill in and mail, click here.

To complete an authorization form on-line that can be printed and mailed, click here.

Mail your completed form to the facility where you received care. Click here for the mailing addresses and fax numbers for SMDC Health System facilities.

If you have questions about the authorization form or the process, call (218) 786-3634 or e-mail ReleaseOfInformation@smdc.org.