Back to top

Authorizations to Release Medical Forms

Medical Records - 507-646-1182.

Please fill out the appropriate form and fax to  507-646-1192.

 

Authorization for Disclosure of Medical Information   – Records sent to NH&C Clinic 

Authorization Release  of Medical Information    – Records sent by NH&C to  an Outside   Clinic

 

Title block - additional text: 

FAX: 507-646-1192