Health Information and Forms

You can request that Innovis Health release medical record information to another party by completing the Release of Information form below.

PDF Icon Download the release of information form

Please complete all the sections on the form in detail, date and sign it before mailing it to:

Innovis Health
Release of Information
3000 32nd Ave S
Fargo, ND 58103

All release forms must be mailed or faxed to the Medical Records department. Our fax number is 701-364-4315. Federal law does now allow requests via email or telephone. Requests usually take between 5 to 15 working days to process and you will receive notification when your records are ready to be picked up at Innovis Health. Any cost associated with this process is regulated by the State of North Dakota.

Questions

If you have questions regarding the release of medical records, please call us at (701) 364-4305 Monday through Friday, 8:00am to 4:30pm. You may also send us an email using our contact form.

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information, please review it carefully.

PDF Icon Innovis Health Notice of Privacy Practices

Medical Directives

A medical directive, also known as an advance directive or living will, is a legal document that allows you to decide who will make health care decisions for you if you are unable to decide for yourself in the future. This document may be used to accept or refuse any procedure or treatment including life-sustaining treatment.

There are many forms available to assist people wanting to make a medical directive. Some people prefer to have an attorney assist them with the proper documents. It is legal to make a medical directive without the assistance of an attorney. Please talk with your physician as you make these important choices.

Once you have completed your medical directive, be sure to give copies to your family, the person you assign to make healthcare decisions when you are no longer able, and your physician. Anytime you are being admitted to the hospital it is a good idea to bring along a copy of your medical directive.

Resources and Forms

Listed below are three resources that may help you understand and make a medical directive. You may also find many more resources on the Internet.

The North Dakota Department of Human Services provides two free publications that are helpful in making a medical directive.

Legal Forms and Instructions for Medical Directives
(Forms found in the appendix)

Making Medical Decisions for Someone Else: A North Dakota Handbook

Innovis Health prefers Five Wishes created by Aging with Dignity, a private, non-profit organization. This form helps a person make a medical directive using understandable language. It covers the most important points needed in a medical directive.

(Note: Those using this form should also print page 27 from North Dakota Legal Forms And Instructions For Medical Directives (above) and attach to Five Wishes to meet North Dakota requirements.)

The Minnesota Board on Aging provides legal forms and Legal forms and instructions for medical directives. Be sure to download all 4 forms!

(Note: Those using this form should also print page 27 from North Dakota Legal Forms And Instructions For Medical Directives (above) and attach to Five Wishes to meet North Dakota requirements.)