Livingston HealthCare requires a completed and signed authorization form to release copies of medical records.
Please print, complete, date and sign the Authorization to Request PHI form.
Return the completed form by either mail or fax:
Address: 320 Alpenglow Lane
ATTN: Medical Records
Livingston, MT 59047
Your request will be processed and mailed within 10 days upon receiving the requests. For more urgent requests, feel free to contact our Medical Records department at 406-823-6412.
To speak with a staff member in Medical Records, please call 406-823-6413.