Patients of Killdeer Medical Clinic - Release of Information Form

KMC ownership transferring 8/24/15


Patients of Killdeer Medical Clinic, please note the following announcement

Effective Monday, August 24, 2015, operation of the Killdeer Medical Clinic in Killdeer, ND, will be transferred from CHI St. Joseph’s Health of Dickinson to Coal Country Community Health Center (Coal Country) of Beulah, North Dakota.  CCCHC currently operates community health center locations in Beulah and Center.  CHI St. Joseph’s will no longer operate a medical clinic in Killdeer.

There will be no lapse in medical services during the transition, and medical services will continue to be offered in the current location at 150 Central Avenue in Killdeer.  CHI St. Joseph’s Health and Coal Country Community Health Center will continue to collaborate for the community’s health care needs.

What you need to know about your Medical Records:

Your medical records for any services rendered at the Killdeer Medical Clinic prior to August 24, 2015, will continue to be maintained by CHI St. Joseph’s Health of Dickinson.

If you would like your CHI St. Joseph’s medical records transferred to Coal Country so that your previous medical information is available to Coal Country clinic staff after the transfer of operations, please print and fill out the “Release of Information” form (file link below) and return to the address indicated on the form.  If you do not request your records to be provided to Coal Country, CHI St. Joseph’s will continue to maintain the records for time periods required by state and federal law.

The Release of Information form can be submitted at any time, but if you would like to do this ahead of time, it will make future medical visits to the clinic more seamless for you as a patient.


Release of Information CHI to CCCHC.pdf: Download