Requesting Records

For the release of records, there needs to be both a release and a request.  Releases need to be signed by the client, in person at one of our five offices so they can be verified by one of our staff.  Likewise, if you are requesting your own records, paperwork needs to be filled out in person at one of our five office locations.    If there is a release on file, other entities may us the paperwork below to fax a request for records to 507-354-3183.

Request For Medical Records

Request by Client or Legal Representative to Access Medical Record

Consent for the Release of Information



Referral form

Referral form for School Linked Services


National Alliance on Mental Illness

Yellow Ribbon Suicide Prevention Program

American Psychological Association

Mental Health for Military

Post Traumatic Stress Disorder

Substance Abuse and Mental Health Services Administration (SAMHSA)

National Institute of Mental Health