Medical Records Request

Medical records from any state except Minnesota

The clinic-specific Release of Information form can be requested from your clinic by email. Each clinic email address can be found in the top section of the clinic location page. If your clinic has recently closed, please use the instructions later on this page. Click here to find your local clinic.

Medical records within Minnesota

Minnesota clinics are now owned and operated by Sagent Behavioral Health. Please visit their Medical Records Request page to find their records request process.

Medical records for a closed clinic

If your clinic has closed, please complete the Release of Information (ROI) form and:

Choose from the two forms below.

To request records about yourself, download and submit this form.

To request records for someone other than yourself, download and submit this form.