Livingston Healthcare
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                Patients & Visitors / Requesting Medical Records

                Requesting Medical Records at Livingston HealthCare

                Your Records Are Provided Upon a Signed Request

                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 if you need a copy of your record released. All authorizations must be physically signed in order to be processed. A valid photo ID is required in order to process your request. Please include a copy of your ID with any faxed, mailed, or emailed requests.

                Return the completed form by either mail, fax, or email:

                Livingston HealthCare
                ATTN: Medical Records
                320 Alpenglow Lane
                Livingston, MT 59047

                Fax: 406.823.6870

                Email: ROI@LivHC.org

                Your request will be processed and mailed within 10 days upon receiving the completed form. For more urgent requests, feel free to contact our Medical Records department at 406.823.6412.

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                Livingston Healthcare Livingston Healthcare

                Location

                320 Alpenglow Lane
                Livingston, MT 59047

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                406.222.3541
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