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 www.mnaging.org/en/Advisor/HealthCareDirective.aspx