You can request your health record information by completing and sending the appropriate paper form.
- Complete the Request to release and disclose patient information form
- The completed form can be sent by:
- Fax: 952-835-4403 OR
- Mail: EPPA
ATTN: Health Information Management/ROI
4300 MarketPointe Drive, Suite 100
Bloomington, MN 55435
You can also download the form here:
Request to Release and Disclose Patient Information