Authorization for Release of Medical Information

For copies of your medical record(s), please print and fill out a Release of Information form and mail or fax to Mayo Clinic Health System in Austin at the address/number listed below.


Mayo Clinic Health System
Release of Information
1000 1st Dr. N.W.
Austin, MN 55912

Fax: 507-434-1447

Financial Forms

Patient Financial Assistance Application Form