Request Medical Records
Authorization to Release Medical Records Forms
Medical Records - 507-646-1182.
There are several different options for medical records, please choose the one you want and fill out the appropriate form and fax it in.
Authorization to Release Health Information - To send medical records to another health care facility from Northfield Hospital + Clinics, please fill out the form below.
Fax it to our Release of Information Vendor, Vital Records Control, at 312-836-7919. Any questions, call 507-216-0100 or email NEintake@vrcnetwork.com.
Authorization for Disclosure of Health Information Form - To have your medical records sent to Northfield Hospital + Clinics from another health care facility, please fill out the form below.
Fax it to 507-646-1192. Any questions, call 507-646-1182.