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Patient Forms

To help speed up the administrative process, we have included the following form for you to download. If you need additional assistance or information, please call (218) 927-2121.

If you would like copies of your Riverwood medical information disclosed or released, download this form: Information Release Form (pdf)

Registration – Assignment of Benefits and Consent for Care
Registration – Consent for Release of Information (pdf)
(please see Information Release Form above for release of medical records)
Registration – Consent for Release of Information and Combining of Health Records (pdf)

Verbal Communication Authorization (pdf)

Riverwood MRI Pre-Assessment Form

  • Riverwood COVID-19 Hotline: 844-428-1323.
    For more information about COVID-19, click here.

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