If you have been getting your health care outside of Mayo Clinic Health System, you will need to complete the Release of Health Information form to allow that facility to share your medical record with us. Transferring your medical records to us ensures your new health care provider knows about previous health conditions and any treatments.
The same form is also used to give us your permission to share your medical records with another health care provider or system or with another individual – such as a family member – who you wish to assist with your care.
Please print the form, complete it, sign it and then mail or fax to:
Mayo Clinic Health System – Franciscan Healthcare
Attn: Release of Information
800 West Avenue South
La Crosse, WI 54601
“It is our goal to make your transition to Mayo Clinic Health System as seamless as possible. If you can return the release form to us promptly, we can have your records in-hand for your first appointment with your new provider.” - Deb, Health Information Management Services