Records Request

To comply with Minnesota statutes and HIPAA regulations regarding patient records requests, Excelsior & Grand Chiropractic requires a signed and dated consent form from the patient or the patient's legally authorized representative. Once we receive your written request, we will process it within 30 calendar days as mandated by Minnesota Statutes section 144.292. Please note that this timeline starts when we resume normal business hours.

We request that you allow at least 48 hours for our response time. For any further information or to obtain the necessary forms, please fill out this form or contact our office directly. Please note that filling out this form does not constitute a formal records request but is a form to request more information or for us to contact you.


  • Minnesota Statutes, Section 144.292, Patient Rights and Access to Health Records
  • Health Insurance Portability and Accountability Act (HIPAA) compliance regulations

If you would like to request records for yourself or a patient, please fill out the following form and we will get back to you as soon as we can. If this is requested on a weekend, we will reach out to you within 48 hours of returning to normal business hours.


9:00am - 5:00pm

9:00am - 6:00pm


9:00am - 6:00pm

9:00am - 12:00pm

Saturday & Sunday

Excelsior & Grand Chiropractic

5605 West 36th Street Suite 100C
St. Louis Park, MN 55416

(952) 920-9247