If you are requesting a transfer or copies of medical records to or from Perham Health, please follow the instructions below. You must be 18 years of age or the parent/legal guardian to request a transfer or copies of a medical record. We’ve created a FAQ section to address commonly asked questions.

Release of Information Instructions

  • Complete the Request of Information form as completely as you can either online, through MyChart, or by downloading the PDF in English or Spanish and printing it.
  • Be sure to include the name and address to whom you would like your records released.
  • Be as specific as you can about the information that you’d like released (e.g. specific dates of service, specific treatment, just immunizations, etc.)
  • If you complete the form by hand, please mail, fax, or email your authorization to:
    • Mail: Perham Health
      1000 Coney Street W
      Perham, MN 56573
    • Fax:     (218) 347-1333
    • Email

Frequently Asked Questions

A: You must sign a release form. You can stop into our HIM department or we can mail a release form to you.

A: Yes. Patients have a right to access their own medical records. A written, signed authorization request needs to be filed with Health Information Management — Release of Information. You may also view your medical records by appointment in the Release of Information department.

A: The authorization must be signed by the patient age 18 or older, a parent if the patient is a minor, or the patient’s legally empowered representative/guardian.

A: If a patient is deceased, the authorization must be signed by the appointed personal representative. Otherwise, a surviving spouse, an adult child, a parent, or responsible next of kin may authorize release of records.

A: We process requests as quickly as possible. We do require a minimum of 24 hours from the time we receive the request to process it.

A: The medical record itself is a legal document and the property of Perham Health. Therefore, the original medical record stays at Perham Health and copies are sent to the other facility.

A: If someone other than the patient will be picking up copies of medical records, please let us know in advance. The person picking up the medical records must bring written authorization from the patient.

Release of Information

Hours: Monday-Friday, 8:00 a.m. to 4:30 p.m.

Phone | Email

Contact Us

Release of Information

Hours: Monday-Friday
8:00 a.m. to 4:30 p.m.

Phone: (218) 347-1331  |  Email

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