Release of Information Forms
Do You Need Your Medical Records Transferred?
We are temporarily closing the Marcus Daly Medical Records walk-In office.
In an effort to safeguard your health, we are temporarily closing the Marcus
Daly Medical Records walk-in office. Effective immediately and until further
notice, onsite record requests and pickup services are closed. Please
Medical Records page for more information.
You have a right to privacy, particularly when it comes to medical care.
We take patient confidentiality very seriously at Marcus Daly Memorial
Hospital. If you would ever like us to disclose your medical information
to another physician or entity or would like a physician to transfer your
medical records to us, you will need to fill out a
Patient Release Form.
Patient Release Form
Contact the Health Information Management Team by
phone (406)375-4447, fax (406) 375-4660, or email