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

Download the 
Luverne POWER Summer High School Satellite Program Form.

Completed form should be brought or sent to Luverne Community Education, 709 N. Kniss Ave., Luverne, MN  56156. For more information, call (507) 449-1229.