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Request a Medical Record at the Cloquet Hospital

What is my Personal Health Record?

Your health is unique to you! Every illness, injury, procedure, or test you’ve had has been carefully documented by your healthcare team and stored confidentially. This is called your Personal Health Record (PHR). CMH’s Health Information Department is dedicated to ensuring your PHR is accurate and secure, so you can receive excellent care now and in the future.  

How do I request a copy of my medical record?

You have two options to request a copy of your medical record.  

REQUEST YOUR RECORD ONLINE

REQUEST YOUR RECORD VIA MAIL/FAX

For mail or fax requests, download and complete the form and return to:

By Mail:

Community Memorial Hospital
ATTN: HIM DEPT
512 Skyline Blvd, Cloquet, MN 55720

By Fax: (218) 879-3237  

Who do my records belong to?

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. 

Are my medical records private?

Yes, your PHR 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.  

How soon can I expect the release of my medical record?

Requests are usually processed within 7-10 days.  

I was born/my baby was born at Community Memorial Hospital. How can I obtain a birth certificate?

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.  

My family member passed away at Community Memorial Hospital. How can I obtain a death certificate?

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.  

Can I just look at my record?

Yes. To view your medical records:  

  • Contact the CMH Health Information Management Department at 218-878-7023.  
  • Complete a valid authorization for release of information is required.  
  • Provide photo identification.  

For Healthcare Providers

REQUEST A MEDICAL RECORD (PROVIDERS ONLY)

 

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Our Address

Community Memorial Hospital
512 Skyline Boulevard
Cloquet, Minnesota 55720
218-879-4641

CMH Urgent Care hours: Monday-Friday, 4pm-9pm; Saturday & Sunday 9am-4pm; closed on holidays
Hospital & Emergency Room 218-879-4641

© 2015 Community Memorial Hospital, 512 Skyline Boulevard, Cloquet, Minnesota 55720

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