Help us assist you:

If you would like any of your medical information to be shared with other care providers and/or sent to our attention, please complete one of the Medical Release Forms below. For your convenience we have an electronic and printable version. Our goal is to help you achieve the best care possible.

Online Form
Electronic Medical Release

Edina, Minneapolis, Plymouth (online form)

PDF Download
A Printable Medical Release

Edina, Minneapolis, Plymouth (PDF Download 1Mb)