Release of Health Information

If you would like a copy of your medical records to be sent to someone other than you, please download one of the following Authorization for Release of Health Information forms:

• CentraCare (PDF)
• CentraCare - Monticello (PDF)
• Midsota Plastic Surgeons (PDF)

Instructions for completing the Authorization for Release of Health Information form (PDF)

If you would like a copy of your medical records to be sent to you, please download and submit the Patient Request for Health Information form:

• Patient Request for Health Information (PDF)
• Patient Request for Health Information in Somali (PDF)
• Patient Request for Health Information in Spanish (PDF)