701-786-1700
Patient Resources
Find essential information to make your visit seamless and informed. We understand that navigating healthcare can be challenging, which is why we've compiled these resources to assist you. From patient forms to billing inquiries, we are here to support your journey towards wellness.
Essential Patient Forms
Download and complete your forms ahead of your visit to ensure a smooth and clinical registration process at Dakota Regional Medical Center and Griggs County Care Center.
Healthcare/Advanced Directive
Notice of Privacy Practices
This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Medical Records Release
Authorize the secure transfer of your medical information between providers to ensure clinical continuity.
Establish your care with us by providing clinical background and contact details before your first appointment.
Community Health Needs Assessment
What is a Community Health Needs Assessment?
A community health needs assessment is a way for communities to identify 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 carry out the plan.
Cooperstown Medical Center completes the Community 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 multiple ways to assess community health needs. Common approaches include:
- Stakeholder meetings
- Community focus groups
- Surveys
- Interviews with community leaders
- Population health and other health-related data
Information adapted from the Center for Rural Health, University of North Dakota School of Medicine & Health Sciences.
Your Rights
At Dakota Regional Medical Center, we are committed to treating every patient with dignity and respect. You have the right to receive clear information about your diagnosis, participate in your care decisions, and designate a representative to act on your behalf. We ensure your voice is heard throughout your entire healing journey with us.
Patient Rights & Privacy
Privacy & HIPAA
Your personal and medical information is protected under the Health Insurance Portability and Accountability Act (HIPAA). We maintain strict confidentiality protocols to ensure your health data is secure and only shared with authorized medical providers to ensure continuity of care. Protecting your privacy is a core part of our professional commitment.
Community Care Program
Dakota Regional Medical Center (DRMC) offers a Community Care program to help eligible patients cover their facility medical costs. To apply for the Community Care program, please contact the DRMC Business Office. Please be aware that additional information may be requested before your application is approved. This is a sliding scale fee policy.
To request a Community Care application, please call 701-786-1700.
2026 Poverty Guidelines for the 48 Contiguous States and the District of Columbia
Persons in family/household
Poverty guideline
1
$15,960
2
$21,640
3
$27,320
4
$33,000
5
$38,680
6
$44,360
7
$50,040
8
$55,720
Poverty guideline
Persons in family/household
For families or households with more than 8 persons, add $5,680 for each additional person.
Key Departmental Contacts
Emergency Room: (701) 786-1700
Clinic: (701) 786-1700
Care Center: (701) 786-1700
Human Resources: ext. 1704
Medical Records: ext. 1727
Get in Touch
Whether you have questions about our medical services, patient records, or nursing care, our team is here to assist you with professional and compassionate guidance.
Our Facilities
107 12th St S
Cooperstown, ND 58425
Phone: (701) 786-1700
Email: humanresources@coopermc.com
Business Hours
Clinic: Mon–Fri, 9:00 AM – 5:00 PM
Saturday, 9:00 AM - 12:00 PM
Admissions: 24/7 Service
Emergency Center: Always Open