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.

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.

CHI St. Alexius Health Bismarck Medical Record Department

To obtain records from:
  • CHI St. Alexius Health Bismarck Medical Center
  • Heart & Lung Clinic
  • CHI St. Alexius Health Clinics
  • CHI St. Alexius Health Mandan Medical Plaza
  • Archway Mental Health Services

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: stamedrecords@primecare.org

In Person: The Medical Record Department located on the first floor of the medical center in the administrative hallway.

CHI St. Alexius Health Urgent Care on 43rd
For records, fax the completed form to 701.530-3501 or call 701.530-3500 for questions. You may also mail the completed form to:

CHI St. Alexius Health Urgent on 43rd
4315 Ottawa Street
Bismarck, ND 58503

CHI St. Alexius Health Urgent Care Pinehurst
For records, fax the completed form to 701.530.3601 or call 701.530.3600 for questions. You may also mail the completed form to:

CHI St. Alexius Health Urgent Care Pinehurst
921 W Interstate Ave
Bismarck, ND 58503

CHI St. Alexius Health Century Family Clinic
For records, fax the completed form to 701.530-3620 or call 701.530-3650 for questions. You may also mail the completed form to:

CHI St. Alexius Health Century Family Clinic
300 W Century Ave
Bismarck, ND 58503

CHI St. Alexius Health University of Mary Clinic
For records, fax the completed form to 701.355.3796 or call 701.355.3770 for questions. You may also mail the completed form to:

CHI St. Alexius Health University of Mary Clinic
7500 University Dr
Bismarck, ND 58504

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

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 am - 4:30 pm

Email: stamedrecords@primecare.org

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