To release records from North Memorial Health Hospital, Maple Grove Hospital or a North Memorial Health clinic, access MyChart or submit our authorization form:

MyChart

1. Sign up for or log in to your MyChart account
2. Once logged in to MyChart, click “Your Menu”
3. Select “Sharing Hub”
4. Choose who you would like to share your health information with
5. Request a formal copy
6. Complete and submit the Medical Record Request form

Authorization Form

1. Download and fill out the authorization form
2. Send the form via fax, mail or email:
   • Fax: 763-581-4447 or 763-581-1075
   • Mailing address:
     North Memorial Health
     ATTN: Health Information Management
     3300 Oakdale Ave. N
     Robbinsdale, MN 55422
   • Email: MedicalRecords@northmemorial.com

Please Note:

• Only the customer or their legal guardian can sign the release.
• Records will only be released to the provider or person designated in the “release information to” space.
• To contact a clinic directly, visit the clinic location webpage for fax and address information.

If you are not finding what you need in MyChart, Health Information Management can assist you electronically. Our office doors are not open to the public, but we can assist your fax, email or mail by following the directions above.

Questions?

Call 763-581-4390 or 763-581-4467

Available Mon. – Fri., 8 a.m. – 4:30 p.m. (closed on major holidays)

North Memorial Health is affiliated with many independently owned and operated clinics. If you visit one of those locations, please contact their offices directly for instructions on how to release your clinic records. Call 763-581-2273 for call assistance.

1. Download and fill out the authorization form
2. To release business office records from North Memorial Health Hospital or Maple Grove Hospital, fax the form to 763-581-4501 or mail the form to:
   Central Business Office
   3300 Oakdale Ave.
   Robbinsdale, MN 55422

Questions?

Call 763-581-4479 or 866-358-2644

Available Mon. – Fri., 8 a.m. – 4:30 p.m.

Log in or sign up for access to certain health records through MyChart, a free service used to schedule appointments, request prescription refills, review health history and more online, any time.

Imaging exam results can be provided on a CD. If you or your healthcare provider is in need of copies of your imaging exams, simply:

1. Call the Imaging Resource Center at 763-581-9567
2. Indicate which exams are needed
3. Pick up your disc in the Imaging Resource Center

Questions about birth certificates should be directed to the Hennepin County Government Center. Call 612-348-8240 or visit their website.