Sanford Luverne

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To Request Hospital or Clinic Medical Information

Download the Authorization for Disclosure of Protected Health Information.

Complete the form and mail it to:
Sanford Luverne Medical Center
Attention HIM Department
1600 N. Kniss Ave.
Luverne, MN 56156-1067

The completed form can also be faxed to (507) 283-2940.

For advanced directives, please visit