Copyright © 2008
St. Mary's Innovis Health
Release of Information Form
You can request that Innovis Health release medical record information to another party by completing the Release of Information form below.
Download the release of information form
Please complete all the sections on the form in detail, date and sign it before mailing it to:
St. Mary's Innovis Health
Attention: Public Relations Coordinator
1027 Washington Avenue
Detroit Lakes, MN 56501
All release forms must be mailed or faxed to the Medical Records department. Federal law does now allow requests via email or phone. Requests usually take between 5 to 15 working days for us to provide the information you request. You will receive a call when your records are ready to be picked up at St. Mary's Innovis Health.
Questions
If you have questions regarding the release of medical records, please call us at (218) 847-5611. You may also send us an email using our contact form.
Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information, please review it carefully.