The privacy of your information is important to us. We’re here to keep your information safe.

How to Request Medical Records

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

• 1

  Fill Out The Requested Form

  Complete and send the appropriate paper form to request and send a copy of your health record to:

  1. Requesting Your Information:
     • Patient access for health information form
  2. Requesting Information for Someone Else:
     • Request to Release and Disclose Patient Information

• 2

  Submit Your Form By Mail

  Mail To:  The Urgency Room
  ATTN:  Health Information Management/ROI
  4300 MarketPointe Drive, Suite 100
  Bloomington, MN 55435

• 3

  Submit Your Form Via Fax

  Fax your form to the following:

  Patient Request: 651-789-9901
  Non-Patient Request:  952-835-4403