Requesting Your Medical Records

You have the right to see information in your health record. Your health record includes your medical history, health insurance information and how to contact you. It is the duty of University of Minnesota Physicians to ensure that your record remains confidential and is maintained and released in accordance with applicable laws.

To request the release of your private health records, please download and fill out the authorization form below. Then, call the site where you received treatment to ask how you should submit the form. Completed authorization forms can also be mailed to the address listed on the form.  Please note that you should not use this form if you want to view your medical records electronically on MyChart. For more information on how to sign up for MyChart electronic medical records, please visit our MyChart page.


Information for Release of Medical information

University of Minnesota Physicians
720 Washington Ave SE, Suite 200
Minneapolis, MN 55414
Phone: 612-884-0650
Fax: 612-884-0907