As a patient, you may find a time when releasing your medical information to another healthcare facility or person is necessary.
Please download the Authorization for Release of Information Form for this purpose.
Once completed, it can be returned to the Medical Records Department with a copy of your Picture ID/Driver's License:
Clark Fork Valley Hospital
ATTN: Medical Records Department
PO Box 768
Plains, MT 59859
* Please remember to include a copy of your Picture ID/Driver's License with your Release of Information Form