Online Patient Record Request
We now offer an online request tool for the following individuals to request patient records:
- Patients requesting their own records
- Patients requesting their own records be sent to someone else
- Parents of minor patients requesting records
- Caregivers acting on behalf of a patient (i.e. Power of Attorney)
The online tool verifies your identity by asking for a photo of your driver's license or Government issued identification, which can be taken via webcam or smartphone. There is no additional charge to use this service.
If you prefer you also have the options to download and print an Authorization for Release of Information Form, or call our Health Information Department at 651-312-1553 to request this form.
IF YOU CHOOSE NOT TO USE THE ONLINE TOOL, PLEASE RETURN YOUR COMPLETED & SIGNED RELEASE FORM BY MAIL OR IN PERSON TO
Colon and Rectal Surgery Associates
Attention: Health Information Dept
3433 Broadway Street NE, Suite 115
Minneapolis, MN 55413
Or fax to 651-312-1570
Your information will be sent by mail unless otherwise specified.
