Medical Records

Grand Itasca Clinic & Hospital is committed to the privacy and confidentiality of your personal and medical information. You have entrusted us with the responsibility of providing care for you and your family, and we are dedicated to maintaining that trust.

Release of Information

Should you need your medical record information for care received at Grand Itasca released please complete this form.

Minor Consent

Should you need to give permission for another person to consent to evaluation and treatment of your minor child, please use the following form:

Excellian – Grand Itasca’s Electronic Medical Record

Should you have questions or need copies of consent forms, please use the following forms: