Medical Records at Langdon Prairie Health

Secure and Confidential
Medical Records Release

We prioritize the confidentiality and security of your medical records. To ensure that your information remains protected, we require written authorization before releasing any medical records. You must be at least 18 years old, or the parent or legal guardian of a minor, to request a release.

Requesting Your Medical Records

You may request copies of your medical records at any time, provided you submit a written authorization. Please remember that a separate authorization is necessary for each request.

Tips for a
Smooth Process

Complete the Form Fully
Make sure to fill out the authorization form with all required details.

Specify the Recipient
Clearly state the name and address where the records should be sent.

Detail the Information
Be as specific as possible about the information you want to be released.

Submit Your Request
Send your completed authorization form to the appropriate location.

Requesting Your Medical Records

Mail your completed authorization form to:
Langdon Prairie Health
901 2nd St.
Langdon, ND 58249
Or fax it to: 701-256-6176

Require the Release of Information Authorization Form?

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