Release of Medical Records

To request access to your medical records for service provided by Mdewakanton Public Safety, you need to fill out a release form.

Mdewakanton Public Safety medical records request form

Please return the completed form to:
Mdewakanton Public Safety
2330 Sioux Trl NW
Prior Lake, MN 55372
Fax: 952-233-9265

Notice Of Privacy Practice