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Request Your Personal Health Records & Information

Your right to access your protected health information and medical records at Wilder

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At Wilder, we ensure that all of our clients have access to their protected health and medical information. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have a right to access your Protected Health Information (PHI) in a Designated Record Set which many people refer to as their “medical record.” Designated Record Sets include documentation of your medical care delivered by Wilder and any records used by Wilder to make decisions about your care. 

Contact: Wilder Health Information Management (Medical Records)

  • Hours: Monday-Friday, 8:00 a.m. – 4:30 p.m.
  • Phone: 651-280-2101
  • Fax: 651-280-3995
  • Email: myhealth@wilder.org
  • Address: 451 Lexington Parkway North, Saint Paul, Minnesota 55104

See Wilder's Privacy Policy for more information.

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How to Request Your Protected Health Information

You can request your Protected Health Information like personal health or medical records from Wilder using our online or PDF forms.

Complete the online form to request your protected health information. 

Once we receive your form by email, mail, in-person or fax, we will contact you if there are any questions. Otherwise, you will receive your health information within 10 business days. 

Request Your Health Records Online

Complete the PDF form to request your protected health information.

Once we receive your form by email, mail, in-person or fax, we will contact you if there are any questions. Otherwise, you will receive your health information within 10 business days. 

Health Records Request Form (English) Health Records Request Form (Hmong) Health Records Request Form (Karen) Health Records Request Form (Spanish)

Once the form is completed, you have the option to:

  • Email it to us: myhealth@wilder.org
  • Mail it to us:
    Amherst H. Wilder Foundation
    Attention: Wilder Health Information Management (Medical Records)
    451 Lexington Parkway North
    Saint Paul, Minnesota 55104
  • Deliver it to the address above: Monday-Friday, 8:00 a.m. – 4:30 p.m. 
  • Or, fax it to us: 651-280-3995

Frequently Asked Questions About Personal Health Information

How will I receive my medical records and is there a fee?

Your records will be released by the option indicated on the form you complete. Wilder does not generally charge a fee to patients to provide copies of health information, but reserves the right to charge a fee in unusual circumstances, such as where multiple requests are made by the patient for the same health information. You will be notified of the fee in advance and Wilder will only charge a fee for the cost of copying the health information, supplies for creating the copy and postage if it is mailed.

How can I make changes to my Protected Health Information?

Health Insurance Portability and Accountability Act of 1996 (HIPAA) gives you the right to have covered entities amend your protected health information when that information is inaccurate or incomplete. To request an amendment to your protected health information please complete and send the Request for Amendment to Records form to:

Amherst H. Wilder Foundation
Attention: Wilder Health Information Management (Medical Records)
451 Lexington Parkway North
Saint Paul, Minnesota 55104

I have questions about my health records. How can I get in touch with you?

Please review our privacy policy. If you would like assistance in determining which form to use or have questions about your records please contact our Wilder Health Information Management team:

  • Hours: Monday-Friday, 8:00 a.m. – 4:30 p.m.
  • Phone: 651-280-2101
  • Fax: 651-280-3995
  • Email: myhealth@wilder.org
  • Address: 451 Lexington Parkway North, Saint Paul, Minnesota 55104