You can request your health record information by completing and sending the appropriate paper form.

  1. Complete the Request to release and disclose patient information form
  2. The completed form can be sent by:
    1. Fax:  952-835-4403 OR
    2. 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