How do I request my medical records?

Requesting Access to Your Health Information

Your health record includes your medical history, health insurance information and how to contact you.

It is the duty of The Urgency Room to ensure that your record remains confidential and is maintained and released in accordance with applicable laws.

How to request access?

You can request your health record information by completing and sending the appropriate paper form.

1. Complete and send the appropriate paper form to request and send a copy of your health record to:
   • Yourself, using the Patient access for health information form
   • Someone other than yourself, using the Request to release and disclose patient information form
2. The completed form can be sent by:
   1. Fax:  952-835-4403 OR
   2. Mail:  The Urgency Room
                ATTN:  Health Information Management/ROI
                4300 MarketPointe Drive, Suite 100
                Bloomington, MN 55435

You can also download the forms here:

Access to Patient Information

Request to Release and Disclose Patient Information

Questions?

Call: 888-556-5593

Available Monday through Friday from 9am to 3pm

Email:  Use our secure form to send us an email