Call 651-653-0062 with any questions regarding your Medical Record.
To request your medical records, print and complete the appropriate form below. Forms can be faxed, mailed or hand-delivered to our office. Please allow 5 business days for processing. Retrieval and processing fees may apply.
AALFA AUTHORIZATION TO RELEASE PATIENT INFORMATION Personal, Parental, Legal or Translator Information Release
AALFA AUTHORIZATION TO RELEASE AND DISCLOSE PATIENT INFORMATION Transfer of Medical Records to or from an Outside Health Care Provider