Medical Records Release from Langdon Prairie Health

At Langdon Prairie Health, we take steps to assure that your medical records are kept confidential and secure. We require a patient’s written authorization to release medical records. You must be 18 years of age or the parent or legal guardian of a minor.

You may request copies at any time once you have provided us with written authorization. Please note that a separate authorization is required for each request.

Tips for getting your records:

  • 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

Langdon Prairie Health
901 2nd St.
Langdon ND 58249
Fax: 701-256-6129

 

Release of Information Authorization (PDF)