Authorization Form for Medical Records/Films

To obtain a copy of your medical records, an authorization form must be filled out, signed and dated. To obtain a copy of our authorization form, click the link below. If you have questions, you may contact our Noran Clinic Release of Information Department at 612.879.1560. Our fax number is 612.879.0722. You may also access additional patient information through our patient portal, My Noran Clinic.

Download Form:
Authorization for Release of Information (34 KB PDF)

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If you have questions on how to request your medical records, email us at records@noranclinic.com.