If you wish to have your medical records transfered from Student Health Services (SHS) Medical Clinic to another clinic, for continued care, personal use, or for another reason you need to click on the link below and fill out the form completely
Return the completed form to SHS Medical Clinic 21 Carkoski Commons, Mankato, MN 56001 or Fax to: 507-389-5787
For further information please call: 507-389-6276
[PDF] Authorization for Disclosure of Health Information (66 KiB)
Minnesota State
University, Mankato
Mankato, MN 56001
1-800-722-0544
© 2005-2013 Minnesota State University, Mankato. Minnesota State University, Mankato is a member of
Minnesota State Colleges & Universities system and an affirmative action/equal opportunity university.
