In order for your medical records to be sent to an outside facility, or to have your records delivered to Pioneer Medical Center from an outside facility, you must fill out the release form below*. Please note: if you will be the recipient of the medical records, you will still need to fill out the form below.
*In order to edit the form online, you will need to first download and save the form to your computer, otherwise, the information will not be automatically saved in the form.
Once you have completed this form, you can email it to JStenberg@pmcmt.org or mail it to Pioneer Medical Center:
Pioneer Medical Center
Attn: Medical Records
P.O. Box 1228
Big Timber, MT 59011
Be sure that all sections of the form are completely filled out:
Pioneer Medical Center has 30 days once a request is submitted to complete the request. If you have any questions, please contact our medical records office by calling our front desk - (406) 932-4603.