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
