Release of Medical Information

Release of Information Forms

Release of Information Authorization Form

Consent to Discuss Information with Providers

Underage Consent Form

Need help getting your medical records?

Call us at 715-483-0582 and we’ll help you obtain your medical records.

Getting Medical Records from St. Croix Regional Medical Center

Medical information is confidential and protected by law. While the information belongs to the patient, St. Croix Regional Medical Center owns the record. The information can only be released with authorization from the patient or their legal guardian. The law requires that the authorization include the patient’s signature and the date the request is being authorized.

Costs & Charges

Due to the cost of maintaining, retrieving and copying records, there may be a charge for copies unless they are being sent directly to a health care facility.