Allina hospitals and clinics form 2025

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The document is an authorization form from Allina Hospitals & Clinics that allows patients to request the release and disclosure of their medical information. It includes sections for patient details, the healthcare provider holding the information, the receiving party, specific information to be released, release instructions, and the purpose of the request. The form outlines the patient's rights regarding consent duration and revocation, as well as potential fees for record retrieval.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (156 Votes)
2015	4.3 Satisfied (191 Votes)
2013	4.2 Satisfied (47 Votes)
2011	4.4 Satisfied (183 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the largest hospital in the Allina?

United Hospital is the largest hospital in the Twin Cities east metro area, providing a full range of health care services to more than 200,000 people each year.

What is the Allina Health Employee Assistance Program?

The Allina Health Caring for Colleagues Fund provides financial assistance for employees and former employees who face unexpected, severe financial strain due to a crisis. Employees and former employees may receive one emergency grant in the maximum amount of $2,000 in any given 12-month period.

Does Allina Health do walk ins?

With more than 600 primary care providers available to connect in person or virtually, you have options. Whether its an in-person visit, walk-in clinic care, telehealth appointment or online inquiry, our providers are available to meet your needs in the way that works best for you.

Are allina and HealthPartners the same?

The Northwest Metro Alliance is a long-term collaboration between Bloomington, Minnesota-based HealthPartners and Minneapolis-based Allina Hospitals and Clinics that is focused on achieving the Triple Aim of healthcare (high quality care, exceptional patient experience, and affordabil- ity) for more than 300,000

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