Aurora Clinic | Taking Time to Care | Grand Forks North Dakota

Convenient Registration & Transferring of Medical Records

Taking Time to Care

Patient Registration at the Aurora Clinic

Aurora Clinic Registration You can register when you come to your appointment or you can download the registration paperwork from this website and bring the completed paperwork to your appointment. When you arrive, the receptionist will make a photocopy of your insurance card. If you have any questions, do not hesitate to call the Aurora Clinic at 701.732.2700 and we will be happy to assist you.

Patient Registration Forms

Click to download:

Patient Registration Form
Medical History Form
Insurance, Credit, and Collection Information
Notice of Privacy Practices
Privacy Practices Acknowledgement
NDHSAA Physical Exam Form
MN Physical Exam Form

Transfer of Medical Records for the Aurora Clinic in Grand Forks

Release/transfer of Medical Records

In order to transfer or obtain your medical records, it is necessary that you sign a release of records form. You can download this form by clicking the link below, or we can mail or fax this form to you. Call the Aurora Clinic-Grand Forks office at 701.732.2700 for additional assistance.

Confidentiality - All information in your medical record is held in strict confidence at all times. No part is ever revealed to anyone without your signed permission. To release medical records, we must have a signed authorization form. You must be 18 years of age or the parent or legal guardian of a minor to obtain your records. Follow these instructions to start processing your request:

Click to download/print the Release of Information Authorization.
(You must be 18 years of age or the parent of legal guardian of a minor)
Complete the authorization form as thoroughly as possible.
Be sure to list the name and address the records should be released to.
Be as specific as possible about the information you'd like released.
Mail or fax the authorization form to:

Aurora Clinic
RE: Medical Records Release
1451 44th Ave South Suite 121D
Grand Forks ND 58201
Fax: (701) 732-2701

Request for Correction/Amendment of Medical Records

To request a correction or amendment to your medical records, follow the steps below.

Click to download/print the Request for Correction/Amendment of Medical Records.
(You must be 18 years of age or the parent of legal guardian of a minor)
Complete the request as thoroughly as possible.
Be as specific as possible about the information you'd like changed.
Mail or fax the request to:

Aurora Clinic
RE: Medical Records Correction
1451 44th Ave South Suite 121D
Grand Forks ND 58201
Fax: (701) 732-2701

No Show Policies

Click here to download the No Show Policy for Aurora Clinic
Click here to download the No Show Policy for the North Dakota Center for Dermatology