Transfer your records to Mayo Clinic
If you been receiving your health care outside of Mayo Clinic Health System, you will need to complete an authorization form to allow that facility to share your medical record with us. Transferring your medical records to us ensures your Mayo Clinic provider knows about previous health conditions and treatments.
The same form also is used to give us permission to share your medical records with another health care provider, system or individual, such as a family member who will assist with your care.
Print, complete, sign and return it to Mayo Clinic Health System in one of the following ways:
Refer to the completion instructions on the form, or call the phone number listed on the form for the location you will be visiting for assistance.
Family medical history can play a large role in your health. To help you and your provider have a full understanding of your family history, print and complete the Primary Care History form. Bring the completed form to your first appointment.
Privacy and security
Part of our commitment to caring for you is ensuring your health information is secure. We make it a priority to treat your medical information in confidence while adhering to federal regulations regarding the use and protection of medical and health information.
At your first appointment, you will receive a copy of the Mayo Clinic Notice of Privacy Practices. You will be asked to sign a form acknowledging the fact you received it. The acknowledgement form is required per federal regulations. Signing the form only means you have received the notice and in no way affects the care you will receive at Mayo Clinic Health System.
If you have any questions about the privacy notice or acknowledgement form, please contact the privacy officer at 715-838-3646.
Call 715-838-6395 if you need assistance or have questions about your medical records.