Hours of Operation: Monday thru Friday, 8 a.m. to 4:30p.m.
Phone Number: 701-857-5390
After Hours: 800-862-0005
Fax Number: 701-418-7671

E-mail Address: [email protected]

Mailing address

Trinity Health ROI
P.O. Box 5020
Minot, ND 58702

Physical Address

Trinity Hospital
2305 37^th SW
Minot, ND 58702

Hospital Entrance, Take the main elevator to 5^th floor, turn Right.

Photo ID required.

• Patient (18+ years of age)
• Parent (under 18) – a Step-parent cannot sign
• Legal Guardian – Legal paperwork must be submitted with the Release of Information Form
• Power of Attorney (if the patient is incapacitated) – Power of Attorney paperwork must be submitted with the Release of Information Form

NOTE: Trinity Health does not accept electronic signatures

• Fill in your name, address, phone number and date of birth
• In the Information to be released section, specify what records you are requesting
  -Specify dates of service and what records (e.g. immunization record, knee treatment, Cardiology records, etc.)
• Select your preference in the Method of Release and Method of Delivery sections
• If Mental Health or Chemical Dependency records are being requested, complete the box in the middle of the page. Be sure to sign and add the date and time.
• In the Release To section, enter the information for who/where the records are to be released to. The following parts are required
  -Name/Facility
  -Sign the bottom and add the date and time
  -Address
  -City/State
  -Phone
  -Fax (if you selected fax as the method of release)
  -E-mail (if you selected e-mail as the method of release)

To obtain your medical records, please submit a completed Release of Information Form. The form can be sent to ROI by mail, fax, e-mail or dropped off in person.
In certain cases, the patient’s physician or psychologist may also be required to approve a request before the healthcare information is released.

To obtain your medical records, please submit a completed Release of Information Form. The form can be sent to ROI by mail, fax, e-mail or dropped off in person. In certain cases, the patient’s physician or psychologist may also be required to approve a request before the healthcare information is released.