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Patient Resources

Medical Records Request

In order for our Medical Records Department to process your request for medical records please print, fill out, and sign, then either mail, fax, or hand deliver the form below. If a form is not filled out completely it will be denied. Signature of the requesting patient is required by law. If you are a Durable Medical Power of Attorney for a patient, a copy of the Power of Attorney papers must accompany this form. The standard processing time for records request is 7-10 business days.

If you are requesting records be sent to you, (in accordance with N.D. Century Code Section 23-12-14) the following fee scale will apply.

  • 10 pages or less, no charge

  • 11-25 pages, flat fee of $20.00

  • $0.75 per page after the 25th page

This charge includes any administration fee, retrieval fee, and postage expense.

**The only exception for these charges is for Continuation of Care sent directly to another facility**

If you have any questions, please contact our Medical Records Department at 701-786-1700
The medical records fax number is 701-786-1700

Below is information for North Dakotans on advanced health care planning. This document explains what an advanced directive is and how to fill out the legal paperwork, which is included.

Community Health Needs Assessment

What is a Community Health Needs Assessment?


A community health needs assessment is a way for communities to identifiy, and analyze the specific health needs of their community. This assessment allows communities to prioritize their health needs, make a plan to meet those needs, and then execute the plan. Cooperstown Medical Center completes the Comminity Health Needs Assessment because it is a Critical Access Hospital (CAH) and completion of the assessment is mandated by the Affordable Care Act. All CAHs are required to complete this assessment every three years. There are mulitple ways to asses community health needs, here are a few ways:

  • Stakeholder meetings

  • Community focus groups

  • Surveys

  • Interviews with community leaders

  • Population health and other health-related data

Information taken from Center for Rural Health; University of North Dakota; School of Medicine and Health Sciences

Our 2022 assessment is available to the right by clicking on the link. 

Community Care Program

DRMC offers assistance to help cover your facility medical costs. To apply for Dakota Regional Medical Center’s Community Care program, please contact the Business Office. 

Please be aware that more information may/will be requested before approval of your application. This is a sliding scale fee policy.

Contact DRMC for a Community Care Application 701-786-1700



Persons in family/household Poverty guideline

      1                                  $14,580

      2                                 $19,720

      3                                 $24,860

      4                                 $30,000

      5                                 $35,140

      6                                 $40,280

      7                                  $45,420

      8                                 $50,560

For families/households with more than 8 persons, add $5,140 for each additional person.


The DAISY Award was established by the DAISY Foundation in memory of J. Patrick Barnes who died at 33 of ITP, an auto-immune disease. The Barnes Family was awestruck by the clinical skills, caring and compassion of the nurses who cared for Patrick, so they created this national award to say thank you to nurses everywhere.

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