Release of Information

To request a copy of your medical records please complete the authorization form. Fill the form out as completely as you can. Be sure to include the organization or person along with the address of where you would like your records released. The form cannot be submitted online. You must print out the form, fill it out, sign and date it and return to Madison Regional Health by mail or fax.

Mail: Madison Regional Health System Attn: Release of Information 323 SW 10th St Madison, SD 57042

Fax: (605)256-6469 Attn: Release of Information

Requests generally take 7-14 business days to fulfill.

Note: You will need a PDF Viewer such as Adobe Reader to access the PDF document.

Release of Information Authorization Form

Alerts and News

Sunflower Cafe Menu 8/20/2017
Sunday, August 20, 2017

Lunch: Pot Roast, Turkey Divan Casserole, Mashed Potatoes & Gravy, Glazed Carrots, Berry Pie Supper: Chicken Salad Croissant, Hot Dog on Bun, Homemade Potato Salad

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