Your hospital medical records provide important information about your stay. This information is
private and requires your signed permission to share.
To request the release of your private health records, please download, complete and submit the form listed below:
• Authorization for Release of Protected Health Information http://www.fvfiles.com/521125.pdf/
Please submit the completed form to the Fairview location where your care was received. You may call the number listed below to answer any questions you may have. Please be aware that staff are not able to provide requested information to you verbally.
To authorize care providers to share your personal health information with others, please download, complete and submit the form below:
• Authorization to Discuss Protected Health Information http://www.fvfiles.com/521129.pdf/
Please note: hospital records are not available online or by electronic means. We apologize for any inconvenience.
Fairview Northland Medical Center
Health Information Management Services (HIMS)
911 Northland Drive
Princeton, MN 55371
Release of Info Phone: 763-389-6573
HIMS General Phone: 763-389-6522