Request Your Chart

You may request a copy of your medical records at any time. While we try to make this as convenient as possible, a signature is required before any information can be released. The following options are available at this time:

  • If you would like your records sent out, click here, print the form, complete the form, sign it, and either mail it or drop it off at the clinic. Your records will be copied and sent per your request.
  • Mailing Address:
    CentraCare Health Plaza
    1900 CentraCare Circle
    St. Cloud, MN 56303
  • Phone: 320-229-4937
  • Fax: 320-229-5151

Authorizes:

  • St. Cloud Medical Group, P.A., 251 County Rd 120, St Cloud, MN 56303
  • St. Cloud Medical Group, P.A., 1301 33rd St S, St Cloud, MN 56301
  • Clearwater Medical Clinic, 615 Nelson Dr, Clearwater, MN 55320
  • Cold Spring Medical Clinic, 402 N Red River Ave, #2, Cold Spring, MN 56320
  • Midwest Occupational Medicine, 1301 33rd St S, St Cloud, MN 56301

Authorization For Release Of Health Information Form (PDF)