Patient Information | Patient Release

Trinity Health: Release of Information

How Do I Transfer Or Request Copies Of My Medical Records?

To obtain your medical records you must submit a completed Release of Information form. You must be 18 years of age or the parent or legal guardian of a minor patient or have some other legal authority to request a medical record. Please follow these instructions to ensure smooth processing of your request:

  • Fill out the form as completely as you can.
  • Be sure to include both the name and address that you would like your records released to.
  • Be specific as you can about the type of information that you would like released (e.g. specific dates of service, specific treatment, just your immunizations, etc).
  • The authorization must be signed and dated on the bottom of the form.
  • For any mental health, chemical dependency, or HIV/Aids results to be released the signature box in the center/right side must be checked and signed.
  • Please mail authorization to the appropriate Trinity Health location. See below for details.
  • There is a charge for copies of medical records for personal use. You may call the phone number listed below for the fee.
  • Payment options: credit card, cash, check or money order.

Patient Downloads:

Click here to download Release of Information Form

Click here for Medical Records Pricing Information

How Do I Obtain A Copy Of My Birth Certificate?

A Birth Certificate is issued from the ND State Department of Vital Statistics site with an email address of:

You may also call them at (701) 328-2360 or write to them for more information at:

ND State Department of Health

Division of Vital Records
600 East Blvd Ave
Bismarck, ND 58505-0200

Where Should I Send My Release Of Information?

Trinity Health
Attn: ROI
PO BOX 5020
Minot, ND 58702

e-mail address:

**Trinity Health does not accept electronic signatures**

In Person:

Trinity Hospital - St. Joseph's
407 3rd Street
Minot, ND 58701
Take the main elevator to 3rd floor.

PHONE NUMBER: 701-857-5390
FAX NUMBER: 701-857-5778