A patient and/or their legal representative may obtain a copy of their personal health information. They may also have copies of their medical records sent to a third-party provider.
Bridger Orthopedic requires a completed and signed authorization to release health information to anyone, including the patient. The patient or Legal Representative must complete the authorization form to disclose private health care information. Mail or fax your completed, signed request to the Medical Records-Release of Information department. The address and fax are listed below. You may drop of the form to either of our locations during business hours.
Authorization forms to disclose Private health Care information
Download Medical Release Form
Our mailing address for Release of Information is:
Attn: Medical Records-Release of Information
1450 Ellis Street, Suite 201
Bozeman, MT. 59715
Short Term Disability and FMLA forms
There is a fee of $25.00 for the completion of Disability and FMLA forms. Please allow 10 working days for processing.
Total Disability Forms
Our office does not complete forms for Total or Retirement Disability. If you are trying to file for total disability, please contact your primary care physician.