Release of Information Forms
Do You Need Your Medical Records Transferred?
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.
Calls accepted: Monday – Friday, 8:00am – 4:30pm
Walk-in hours: Monday – Friday, 8:00am – 4:00pm
Contact the Health Information Management Team by
phone (406)375-4447, fax (406) 375-4660, or email