ER WAIT i Patients & Visitors Menu Medical Records Authorization Release of Information A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records, or have copies of medical records sent to another facility. SageWest Health Care requires a completed and signed Authorization for Release of Health Information form before releasing any documents to anyone, including the patient. If you have questions about this process, please feel free to contact the Health Information Management Services department directly at (307) 857-3466. How to request a copy of your medical records Print and complete the Authorization Release of Information form. The release form must be completed, dated and signed We ask that you specify what components of your medical records you wish to obtain/release. Often, the discharge summary, operative report and history and physical contain relevant information to suit your needs. Requests must be specifically signed if requesting/authorizing the following information: - Psychiatric Care - AIDS/HIV - Alcohol/Drug abuse - Fertility Treatment SageWest Health Care medical records If you have any questions regarding release of health information from SageWest Health Care, please call (307) 857-3466. You may deliver your forms in person or by mail. Please bring the form to: SageWest Health Care Lander Medical Records 1320 Bishop Randall Drive Lander, WY 82520 or SageWest Health Care Riverton 2100 W. Sunset Dr. Riverton, WY 82501 Fax: (307) 335-6511 If you fax your request, please place "Attn: Release of Information" in the subject line. Hours: Monday – Friday, 8 a.m. – 4:30 p.m. Closed on holidays. Release of medical information charges No charges for page count if 25 pages or less. $0.50 per page for 26 pages and over. If your charges exceed $100, we require payment before the records are released Next steps after requesting medical records Please allow up to 14 calendar days for your request to be processed. If you indicated the option to pick-up your release form, you will be contacted by the Release of Information Office when your records are ready. A photo ID is required. If an individual other than the patient is picking up the records, then that individual must have an original signed authorization letter from the patient and a photo ID. Address & Phone Numbers Privacy Policy About Us Find a Doctor Services Patients & Visitors Get Care Now Classes & Events

ER WAIT i Surgical Services AVAILABLE AT Lander Riverton At SageWest Health Care, our array of surgical services provide quality care for you and your loved ones. We strive to meet the needs of our patients as well as our physicians and staff. Next Steps Contact Us Call 307-856-4161 or 307-332-4420. Find a Doctor SEARCH DOCTORS Our Surgical Procedures include: Dental surgery Ear, Nose, Throat Surgery General surgery GYN Surgery Podiatric Surgery Orthopedic Surgery Vascular Surgery Urological Surgery Address & Phone Numbers Privacy Policy About Us Find a Doctor Services Patients & Visitors Get Care Now Classes & Events