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: cash, check or money order.

    Click here to download Release of Information Form

  • Where Should I Send My Release Of Information?

    MAILING: All record requests except outpatient Mental Health (Riverside) visits.

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

    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


    MAILING: Outpatient Mental Health (Riverside) visits

    Trinity Health Center - Riverside
    1900 8th Ave SE
    Minot, ND 58701

    PHONE NUMBER: 701-857-5998
    FAX NUMBER: 701-857-5022
  • How Do I Obtain A Copy Of My Birth Certificate?

    A Birth Certificate is issued from the ND State Vital Statistics site with an email address of: www.discovernd.com/

    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