Notices Related to Health Records

Minnesota Standard Consent Form to Release Health Information

A standard patient consent form for a person to release their health information

• Minnesota Standard Consent Form to Release Health Information - English (PDF)
• Minnesota Standard Consent Form to Release Health Information - Spanish (PDF)

Notice of Access to Health Records

This notice explains the rights you have to access your health record, and when certain information in your health record can be released without your consent. This notice does not change any protections you have under the law.

• Access to Health Records Notice of Rights - English (PDF)
• Access to Health Records Notice of Rights - Hmong (PDF)
• Access to Health Records Notice of Rights - Russian (PDF)
• Access to Health Records Notice of Rights - Somali (PDF)
• Access to Health Records Notice of Rights - Spanish (PDF)
• Access to Health Records Notice of Rights - Vietnamese (PDF)

Statutory References to the Access to Health Records Notice (PDF)
Summary of official legal language referenced in the Access to Health Records Notice.

Maximum Charges for Patient Records

Maximum Charges for Copies of Patient Records (PDF)
The maximum charges for copies of patient records.

Statutes

Minnesota Statutes 144.292 PATIENT RIGHTS
Minnesota Statutes, section 144.292, subd. 6, governs the charge for copies of patient records.