Medical Records

To request a copy of your medical record, complete the release of information (ROI) form appropriate for the location(s) at which you received services.  See instructions under each location tab below.

 

Depending on the services you have received throughout CHI St. Alexius Health Bismarck's Hospital and Clinics, it may be necessary to contact the separate areas to get all the records you need. Any one of our medical record departments and/or clinics would be happy to coordinate this for you, upon request.

A. If you have been a patient in the hospital, either as an inpatient or as an outpatient, regardless of the physician who provided your care, your record will be available in the hospital Medical Record Department.

B. For all clinic care that you receive, those records will be available in the clinic where you received care.

Mid Dakota Clinic, a member of Primecare, but not a CHI St. Alexius Health owned clinic, maintains their clinic records at the Mid Dakota Clinic. If you need records for clinic care provided at Mid Dakota, please contact the Mid Dakota Clinic Release of Information Nurse.

CHI St. Alexius Health Bismarck's Hospital and Clinics have separate and distinct medical records.

  • Depending on the services you have received throughout CHI St. Alexius Health Bismarck and its affiliated clinics, it may be necessary to contact the separate areas to get all the records you need. Any one of our medical record departments and/or clinics would be happy to coordinate this for you, upon request.
  • Mid Dakota Clinic, a member of Primecare, but not a CHI St. Alexius Health owned clinic, maintains their clinic records at the Mid Dakota Clinic. If you need records for clinic care provided at Mid Dakota, please contact the Mid Dakota Clinic Release of Information Nurse.

Use this Release of Information Form.

  • Complete the form in its entirety. Be sure to include all entities of CHI St. Alexius Health where records are needed and sign and date the form.
  • Return form to the appropriate location(s) in person or by fax, mail, or email where indicated. If you are emailing the form, you must scan the completed document and attach it to your email. The above form is not interactive.

Hospital Medical Record Department
For records, fax the completed form to 701.530.8984 or call 701.530.8935 for questions. You may also mail the completed form to:

CHI St. Alexius Health Bismarck
Health Information Management Department
Post Office Box 5510
Bismarck, North Dakota 58506-5510

Email: stahospitalrecords@primecare.org

In Person: The Hospital Medical Record Department located on the first floor of the medical center in the administrative hallway. Examples of outpatient records maintained by the Hospital Medical Record Department are emergency room records, outpatient surgery records, same day surgery center records, etc.

Heart & Lung Clinic
For records, fax the completed form to 701.530.7560 or call 701.530.7410 for questions. You may also mail the completed form to:

CHI St. Alexius Health Heart & Lung Clinic
Medical Records
Post Office Box 2698
Bismarck, North Dakota 58502-2698

Email: hlcmedrecords@primecare.org

In Person: Requests can be directed to that clinic's reception desk on the second floor. Take elevator D to second floor.

CHI St. Alexius Health Clinics (formerly The Clinics of St. Alexius)
For records, fax the completed form to 701.530.6586 or call 701.530.6628 for questions. You may also mail the completed form to:

CHI St. Alexius Health Clinics
900 East Broadway
Bismarck, North Dakota 58501

Email: staclinicsroi@primecare.org

In Person: Requests can be directed to that clinic's third floor reception desk. Take elevator D to third floor.

CHI St. Alexius Health Mandan Medical Plaza
For records, fax the completed form to 701.530.3780 or call 701.667.4600 for questions. You may also mail the completed form to:

CHI St. Alexius Health Medical Plaza - Mandan
2500 Sunset Dr. NW
Mandan, North Dakota 58554

Email: mdnmedrecords@primecare.org

CHI St. Alexius Health Minot Medical Plaza
For records, fax the completed form to 701.857.8056 or call 701.858.1800 for questions. You may also mail the completed form to:

CHI St. Alexius Health Medical Plaza - Minot
2700 8th Street Northwest
Minot, North Dakota 58703

Email: panorman@primecare.org

Archway Mental Health Services
For records, fax the completed form to 701.530.7319 or call 701.530.7333 for questions. You may also mail the completed form to:

Archway Mental Health Services
Medical Records
Post Office Box 5510
Bismarck, North Dakota 58506-5510

Email: sgleich@primecare.org

Use this Release of Information Form.

For records, fax the completed form to 701.652.3030 or call 701.652.7185 for questions. You may also mail the completed form to:

Release of Information
Carrington Health Center
PO Box 461
Carrington ND 58421

There may be a charge for copies of your medical records.  Upon payment for the copies your request will be processed.

Use this Release of Information Form.

For records, fax the completed form to 701.662.9653 or call 701.662.9764 for questions. You may also mail the completed form to:

CHI St. Alexius Health Devils Lake
Attn: Health Information Management
1031 7th St. NE
Devils Lake, ND 58301

In person: Requests will be handled at the Admissions desk located at the Main Entrance.

Office Hours: M-F from 8:00 am to 4:30 pm

Use this Release of Information Form.  

For records, fax the completed form to 701.456.3822 or call 701.456.4268 for questions. You may also mail the completed form to:

CHI St. Alexius Health Dickinson
Attn: Health Information Management
2500 Fairway Street
Dickinson, ND 58601

In person: Enter the hospital's main (south) doors.  Follow the corridor to the right, then take your first left.  Medical Records (Health Information Management) is in that hallway.

Office Hours: M-F from 8:00 am to 4:30 pm 

Use this Release of Information Form.

For records, fax the completed form to 701.463.6580 or call 701.463.6511 for questions. You may also mail the completed form to:

Garrison Memorial Hospital
Attn: Medical Records Dept.
407 3rd Ave SE
Garrison, ND 58540

Office Hours: M-F from 8:00 a.m. – 4:30 p.m.

There is no charge for copies of records sent directly to another health care provider.

Copies for personal use: There is no charge for the first 10 pages. After 10 pages, there is a 50-cent per page charge.

Fee for all other requests: A charge of $20 for the first 25 pages. After 25 pages, there is a fee of 75-cents per page.

Use this Release of Information Form.

CHI St. Alexius Health Turtle Lake Hospital

For hospital records, fax the completed form to 701.530.8984 or call 701.530.8935 for questions. You may also mail the completed form to:

CHI St. Alexius Health Bismarck 
Health Information Management Department
PO Box 5510
Bismarck, ND 58506-5510

Office Hours: M-F from 8:00 a.m. - 4:30 p.m.

Washburn Family Clinic

For clinic records, fax the completed form to 701.462.3422 or call 701.462.3396 for questions. You may also mail the completed form to:

Washburn Family Clinic 
1177 Border Lane
Washburn, ND 58577

Office Hours: M-F from 8:30 a.m. - 5:00 p.m.

There is no charge for copies of records sent directly to another health care provider.

Copies for personal use: There is no charge for the first 10 pages. After 10 pages, there is a 50-cent per page charge.

Fee for all other requests: A charge of $20 for the first 25 pages. After 25 pages, there is a fee of 75-cents per page.

Use this Release of Information Form.  

For records, fax the completed form to 701.774.7468 or call 701.774.7048 for questions. You may also mail the completed form to:

CHI St. Alexius Health - Williston Medical Center
Health Information Management
Attn: Release of Info Clerk
1301 15th Ave. West
Williston, ND 58801