Please use the below link to access the records release form. There will be a labor fee of $20.00 for the first 10 pages, $0.50 per page for pages 11-50 and $0.25 per page for pages 51 and higher to cover copy and transmittal costs. Please note, there will be no fee charged from PromptServe Family Medicine if you or another medical provider requests your records to be sent to a medical provider's office. Between April 16, 2018 and April 30, 2018 you may pick up your records between the hours of 8:00 a.m. to noon. A copy of a valid photo identification will be required for all records release transactions.
After April 30, 2018 your records will be held with Clary Document Management, Inc. Please complete the Clary medical records request form and submit the form along with a clear copy of your identification to Clary Document Management, Inc. 5600 Pioneer Creek Drive Minneapolis, Minnesota 55428. A copy of the Clary Document Management medical release form may be found here or by calling Clary at (763) 548.1320. For any fee(s) associated with copy, retrieval, postage, etc. from Clary Document Management, please contact them directly.