Fill out the following form to authorize Yellowstone Surgery Center to disclose your health information. We will use the following information to validate your patient information and attempt to contact you for confirmation.
Yellowstone Surgery Center will not email protected health information.
For Medical Record Request, please fill out the information below. A representative from Yellowstone Surgery Center will call you to complete the request since both a Driver's License and Signature will be required before the records can be disclosed. Normal turnaround time for disclosing records is 10-14 business days from record completion date. All fields must be completed.
18 years and older
Due to COVID-19, Yellowstone Surgery Center is currently allowing only one visitor per patient to stay in the building.
Younger than 18
A parent or legal guardian must stay in the building at all times. Yellowstone Surgery Center prefers one, however, we will allow for two.
If you have a mask, please wear it during your time at Yellowstone Surgery Center. If you do not have a mask, Yellowstone Surgery Center will provide one.
A COVID-19 test will be required prior to elective surgery. This will be arranged through your Surgeons office four days in advance of the date of surgery.