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Authorization to Release Patient Information

IMPORTANT: Please be aware that not all personal emails are secured. For this reason, due to Federal HIPAA* regulations please do not include personal health information in your correspondence.

Click here for an Authorization for Release of Information form.

 

To request copies of your records for your personal use or to be sent to a non-UHD affiliated provider

Please fax your form to 507-526-5341, or mail your form to:

United Hospital District
Attn: Release of Information
P.O Box 160
515 S. Moore Street
Blue Earth, MN 56013

 

To request copies of your records be sent to UHD from a non-UHD provider:

Please contact the non-UHD provider and make your request directly to that provider.

 

If you have any other questions or concerns, you can contact us at 507-526-3273. Please ask the operator to transfer your call to Medical Records.

*Health Insurance Portability and Accountability Act (HIPAA) protects the security and privacy of health data.

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