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Health Information Management

When a child is injured or ill, paperwork is often the last thing on a parent’s mind. That’s why South Lake Pediatrics staff is always here to help assist you with your medical records needs. From finding the proper forms to facilitating medical record transfers, we’ll guide you through every step and make the process as simple and convenient as possible.

How you can help:

Please complete your portion of any health, daycare, camp or sports form before dropping it off at our office and allow two weeks for turnaround.

If a minor’s records are to be sent to another clinic or an insurance company, the legal guardian of the patient must first complete our Release of Medical Information Form. You may choose to mail it, fax it or drop it off at any of our four locations. We can only release records that were created during your visit here at South Lake Pediatrics. All patients 18 years of age and older must complete their own form.

If you have any questions, please contact us.

Frequently Asked Questions

Medical records will be preserved until the patient is at least 28 years of age or longer depending on the date on which the patient was last treated at any of our facilities.
The authorization must be signed by the patient, a parent of the patient (if the patient is a minor), or the patient's legally empowered representative.
South Lake Pediatrics asks for 10-14 business days to process the request; however we do take them in the order they are received. If the patient has an upcoming appointment with another provider, we ask that you include that information on the request form.
Not if the X-ray images are used for continual care from provider to provider. This would include the patient/parent hand carrying the CD to the provider.

The medical records itself is a legal document and the property of South Lake Pediatrics. Therefore, the original medical record stays at South Lake Pediatrics and copies are sent to the other facility.
The standard guideline for releasing records includes: a complete copy of the patient’s growth chart and immunization record, along with the last 2 years of office visits and 1 year of lab and x-ray. If there is an ongoing issue additional information can be released to the provider at their request.
If someone other than the biological parent or patient (if 18 years of age and older) will be picking up copies of medical records, written authorization from the patient/parent must be presented before we can release them. Personal identification may be required for all pick-ups.

Contact Us

Health Information Management

Phone: 952-401-8300
Fax: 952-401-8242
Email:  healthinformation@slpeds.com

Mailing Address:
South Lake Pediatrics
Attn: HIM Department
17705 Hutchins Dr #250
Minnetonka MN 55345

Join the South Lake Pediatrics Family

With a legacy grounded in quality and kindness, South Lake Pediatrics welcomes you to a healthcare experience tailored to your family’s unique needs. Enjoy our professional care, affordable options, insightful education, and easy access – all wrapped in a warm and personalized approach.

Become a Patient