Requesting Medical Records

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

Fax: 406-823-6630

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.

Contact Us

To speak with a staff member in Medical Records, please call 406-823-6413.