Request a Copy of My Statement

1.)  Request via Mail:
Please fill out the following information and click on “Submit”. Requests will be processed within 2 business days of receipt. A copy of your statement will be mailed to your address on file.

(ie. 3/10/2010 and 4/1/2011)
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2.)  Request Statement be sent to location other than your address or via fax
Please click on the link below to fill out the request form and send it back to us. We will process your request within 2 business days of receipt.

Release of Information Form

 

 

To contact Insurance and Billing directly, please call 612-871-1145 (option 5)

(office hours: M-Th 8:00am to 4:30 pm, Fridays 8:00am-4:00pm)