Yellowstone Surgery Center

Help and Support

We're here if you have specific questions or concerns that you would like us to know.

  Requesting Medical Records

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.

Patient Information

Individual Making the Request

Individal Receiving the Records

Additional Procedure Patient Services


Find a Physician

Make a Payment Online

Procedure Price Estimate

Career Opportunities

Patient Responsibility