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Clinic: 507.642.5200
Urgent Care: 507.642.3255
Hospital: 507.642.3255
121 Drew Ave SE, Madelia, MN 56062

Patient Health Information Release

To request access to your patient health information, you first need to fill out a release form:

 

Download

Release of Information Form

Return completed form to the Health Information Management (HIM) Department at the Madelia Community Hospital & Clinic. 

Forms may be received via fax, by mail or in person.  

Fax to 507.642.8010 

OR

Deliver in person or mail to:

HIM Dept.
Madelia Community Hospital & Clinic
121 Drew Ave S.E. 
Madelia, MN  56062

If you have any release of information questions please call: 507.642.3255 ext. 515