INSTRUCTIONS FOR RECEIVING COPIES OF YOUR MEDICAL RECORDS
There are several ways to contact MMC Health Information Management for release of information.
Complete the Authorization for Release of Confidential Information online.
Or, please download and complete the Authorization for Release of Confidential Information and return to our office.
– Write legibly and sign the release form
– Make sure you fill out the dates you are wanting, where/how you would like it sent, and a good contact number (phone number)
– Include a copy of your picture I.D.
Minden Medical Center
#1 Medical Plaza