The Health Information Management department at Twelve Clans Unity Hospital is responsible for the creation of, care, storage and retrieval of patient medical records. We take this responsibility very seriously to assure the utmost security and confidentiality for all our patients. We also provide statistical information for the medical and administrative staff.
Patients may request medical records and immunization records by contacting the HIM Department and filling out a Release of Information Authorization Form located here.
Please remember to fill out the authorization form completely in order to avoid any delays in receiving your medical information. Incomplete or partially completed requests cannot be processed and will be returned to the patient for completion.
Forms can be sent by mail to:
Twelve Clans Unity Hospital
Health Information Management Department
225 S. Bluff Street
P.O. Box HH
Winnebago, NE 68071
Or can also be sent by fax to:
(402) 878-2881 (Attention Release of Information)