At CMH, we are committed to protecting your personal health information. You have the right to inspect, review, or receive a copy of your medical record.
At CMH, we are committed to protecting your personal health information. You have the right to inspect, review, or receive a copy of your medical record.
A medical record is documentation of your personal health history, including:
1.Complete the Release of Information Form
Request Your Record Online
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Request Your Record Via Mail/Fax
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2. Please be as specific as you can about the information you’d like release (e.g. specific dates of service, specific treatment, vaccinations etc.)
3. If you complete the form by hand, please return it by mail or fax.
By Mail
Community Memorial Hospital
Attn: Medical Records
512 Skyline Boulevard
Cloquet, MN 55720
By Fax: 218-879-3237
CMH Health Information Management Department
Phone: 218-878-7023
Fax: 218-879-3237
Hours: Monday 8 AM-4:30 PM, Tuesday-Friday 8 AM-4 PM. Closed on weekends and holidays.
Your medical record is the property of CMH and is maintained by the hospital for patient care purposes. Although these records are maintained for your benefit, the physical records (paper or electronic) are the property of the hospital.
Yes, your record is protected by federal law known as the Health Insurance Portability and Accountability Act (HIPAA) of 2003. This law protects your privacy related to health information and ensures you can view, get copies of, and request changes to your personal health information.
Requests are usually processed within 7-10 days.
You will need to request the birth certificate from the local Bureau of Vital Statistics Office. You can reach the local Carlton County office at 218-384-9156.
You will need to request the death certificate from the Bureau of Vital Statistics Office. The funeral home works in conjunction with the physician to complete the death certificate. The funeral home then submits the death certificate information to the Bureau of Vital Statistics Office. You can reach the local Carlton County office at 218-384-9156.
Yes. To view your medical records: