Release of Information

If you need to fill out the Release of Information form, please follow the instructions below:

  • Download and print the form below
  • Fill out the form in its entirety
  • Mail the (completed) form to the address below:

Amend Healthcare
3989 4th St E, Suite 2
West Fargo, ND 58078

Monday

8:30am – 4:30pm

Tuesday

7:30am – 3:30pm

Wed-Thurs

8:30am – 4:30pm

Friday

8:30am – 12:00pm

Sat-Sun

Closed