Medical Records Release

Select from the options below to download the appropriate Release of Information form. Completed forms can be emailed to medicalrecords@tcpain.com or faxed to 952-841-2346.

Twin Cities Pain Clinic Twin Cities Surgery Center Burnsville Surgery Center

You have the right to view and request changes to your confidential health information. For more information on how you can access your medical records, review our Notice of Privacy Practices.


+
Scroll to Top