Your Rights and Medical Records
At Gillette Children's Specialty Healthcare, we are committed to protecting your safety and privacy and to helping you understand your rights as a patient. We adhere to the Federal Patient Bill of Rights as well as the Minnesota Patients’ Bill of Rights.
Understanding Your Rights and Responsibilities
For information about your rights and responsibilities as a Gillette patient, please refer to this resource:
- Understanding Patient Rights and Responsibilities at Gillette Children’s Specialty Healthcare and Gillette Lifetime Specialty Healthcare (PDF)
Releasing Your Medical Records
Copies of your medical records are available from Gillette Children's Health Information Services department. To receive information from medical records, patients, parents or guardians must complete and sign an Authorization to Release form. Acting as a written request, your completed form serves the following purposes:
- It helps Gillette correctly identify the medical information you want to receive.
- If someone requests medical information on a patient’s behalf, it documents his or her authority to receive the information.
- It provides Gillette with a record of written requests and the medical information we’ve released.
- To comply with federal and state regulations and laws, patients, parents or guardians must complete and sign an Authorization to Release form.
Incomplete forms will be returned to the sender for completion. Proof of guardianship is required to be on file in the patient's medical record in order to obtain medical records.
- Authorization to Release (PDF)
- Authorization to Release (PDF) Spanish
- Authorization to Release (PDF) Hmong
- Authorization to Release (PDF) Somali
Forms may be mailed, faxed or delivered in person.
Mail or deliver in person to:
HIM Dept. at Gillette Children's Specialty Healthcare
200 University Ave. E., St. Paul, MN 55101
If you are unable to print the form or if you have questions regarding medical records, please call 651-312-3122.
Notice of Privacy Practices
We understand that health information about you is personal. We are committed to protecting the privacy of your health information by complying with all applicable federal and state privacy and confidentiality laws.
This notice describes how we maintain your privacy. It describes personal information about patients, how we use it and with whom we share it. This notice also explains your right to not have your information shared with parties outside Gillette Children’s Specialty Healthcare.
If you have a concern regarding your privacy or questions regarding this notice, please contact the privacy officer at 651-578-5632.
We help ensure your privacy by releasing your personal information only to people you've agreed should receive it. If you would like to authorize disclosure of your personal information to someone, such as a family member or attorney, you may contact our Health Information Services department at 651-229-3886.
Questions or Feedback?
If you have questions about your rights or wish to provide feedback, you can contact Quality Improvement Resources at 651-578-5218 or Child and Family Services at 651-229-3855.
You also can securely submit feedback or concerns about your care at Gillette on our contact page.
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