Verification Lookup Portal
Providers for Sanford Health
Sanford Aberdeen Medical Center
Sanford Bagley Medical Center
Sanford Bemidji Medical Center
Sanford Bismarck Medical Center
Sanford Canby Medical Center
Sanford Canton-Inwood Medical Center
Sanford Chamberlain Medical Center
Sanford Clear Lake Medical Center
Sanford Fargo Medical Center
Sanford Health Detroit Lakes Same Day Surgery
Sanford Health Same Day Surgery Center
Sanford Hillsboro Medical Center
Sanford Hospital Vermillion
Sanford Jackson Medical Center
Sanford Luverne Medical Center
Sanford Mayville Medical Center
Sanford Medical Center Worthington
Sanford Rock Rapids Medical Center
Sanford Sheldon Medical Center
Sanford Thief River Falls Behavioral Health Center
Sanford Thief River Falls Medical Center
Sanford Tracy Medical Center
Sanford USD Medical Center
Sanford Webster Medical Center
Sanford Westbrook Medical Center
Sanford Wheaton Medical Center
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I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification information. Such signed release and immunity holds harmless and indemnifies Sanford Health and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such Sanford Health and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with Sanford Health.
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Provider Last Name
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Requester Fax
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