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Release of Medical Records / Transferring Medical Records

Authorizing the release/transfer of your medical records can be a time consuming procedure. Making sure your records are accurately and successfully transferred is very important to ensure the safest health care. When you first visit your new physician, you will fill out forms and the doctor will take a patient history.

You can help your new doctor by transferring your personal medical files from your previous physician. Your request for transferring medical records must be made in writing. Your new physician may have a form for you to use or you can download and print the form provided here.

Release of Medical Records Transfer Authorization Form

Spanish Release of Medical Records Transfer Authorization Form

*Note: The forms on this page can not be submitted online. You must print out the form, fill it out, sign and date it, and take it to your health care provider. You may use this form for transferring records to or from Avera McKennan Hospital & University Health Center. You will need Adobe Reader to access the PDF document.