Medical Records

To request the release of your private health records, please download and fill out one of the authorization forms below. Then, call the site where you received treatment to ask how you should submit the form. For contact information, see the list below.

Authorization Forms

You may call the phone numbers below for help submitting your form. Please note: Staff at these numbers will not share your information verbally.

University of Minnesota Medical Center

University of Minnesota Masonic Children's Hospital
West Bank campus
Health Information Management office: 612-273-4370
Release of Information Contact:
2450 Riverside Ave., Minneapolis, MN 55454
Phone: 612-273-4359; Fax: 612-273-4069

East Bank campus
Health Information Management office: 612-626-3535
Release of Information Contact:
420 Delaware Street SE, MMC 601, Minneapolis, MN 55455
Phone: 612-626-3238; Fax: 612-273-2345

Fairview Lakes Medical Center

Health Information Management
5200 Fairview Blvd., Wyoming, MN 55092
Phone: 651-982-7870; Fax: 651-982-7122

Fairview Northland Medical Center

Health Information Management
911 Northland Dr., Princeton, MN 55371
Phone: 763-389-6522; Fax: 763-389-6545

Fairview Southdale Hospital

Release of Information, LL25
6401 France Ave. S., Edina, MN 55435-2199
Phone: 952-924-1414; Fax: 952-924-8443