Medical Records Requests

We ensure your medical information remains private and confidential, and require a completed and signed authorization form before we release your records.

Download and print an Authorization for Release of Information Form, or call our Health Information Department at 651-312-1553 to request this form.

PLEASE RETURN YOUR COMPLETED & SIGNED RELEASE FORM BY MAIL OR IN PERSON TO

Colon and Rectal Surgery Associates
Attention: Health Information Dept
2550 University Avenue West, Suite 110-N
Saint Paul, MN 55114

Or fax to 651-312-1570

Your information will be sent by mail unless otherwise specified.

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