Hospital & Emergency Room
218-879-4641
The Health Information Services (HIS) Department at Community Memorial Hospital recognizes the vital role of health information. HIS is dedicated to ensuring complete and timely documentation of pertinent facts and observations about our patient’s health, including past and present illnesses, tests, treatments and outcomes. We are committed to providing the highest quality of service to our customers by ensuring accurate, reliable, and secure collection, maintenance and appropriate dissemination of patient health information, regardless of its format. We are dedicated to meeting the needs of our customers in a professional, caring and confidential manner. For detailed information on how Community Memorial Hospital uses and safeguards your protected health information, please refer to our Privacy Notice.
Department hours: Monday 8:00 am to 4:30 pm and Tuesday-Friday 8 am to 4 pm. Closed holidays.
CMH Health Information Services
Phone: 218-878-7023
Fax: 218-879-3237
For information regarding creating and maintaining a Personal Health Record (PHR) visit the myPHR website.
Q: Who do my records belong to?
A: Your medical record is the property of Community Memorial Hospital 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.
Q: Who may request medical records?
A: You may request copies of your own medical records, the medical records of a minor child, or the medical records of someone for whom you are the legal guardian or hold a Durable Power of Attorney for Healthcare. Proof of legal guardianship or a Durable Power of Attorney for Healthcare must be provided. A Durable Power of Attorney for Healthcare is only effective in the event a patient is unable to act on their own behalf and that has been determined by a physician. A spouse or child of a deceased patient can request the medical records of the deceased if he/she is the executor or administrator of the deceased patient’s estate. Probate Court documents naming the requestor as the executor or administrator must be provided. Where there is no estate or an estate will not be probated, Probate Court documents releasing the estate from probate and naming the requestor as the personal representative must be provided.
Q: How can I obtain a copy of my medical record?
A: Simply follow these steps:
Community Memorial Hospital
ATTN: Health Information Services Dept.
512 Skyline Boulevard
Cloquet, MN 55720
Fax: 218-879-3237
Email: HIS.ROI@cmhmn.org
Instructions on completing the Authorization Form:
Q: How soon can I expect the release of my medical record?
A: Requests are usually processed within 7-10 days.
Q: I was born/my baby was born at Community Memorial Hospital. How can I obtain a birth certificate?
A: 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.
Q: My family member passed away at Community Memorial Hospital. How can I obtain a death certificate?
A: 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.
Q: Can I just look at my record?
A: Yes. To view your medical records:
If you have any further questions regarding your medical record or release of your health information, please contact CMH at 218-878-7023.
CMH Health Information Services
Monday 8:00 am to 4:30 pm and Tuesday-Friday 8 am to 4 pm. Closed holidays.
218-878-7023
Obtain your medical records
Download the Authorization to Release Protected Health Information form