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Elite Recovery

Self Release

Start Your Recovery

Your health information belongs to you. This form allows you to request your records directly from Elite Recovery under your Right of Access. You may request your full chart or specific documents, choose how you’d like to receive them, and indicate any preferences for communication.

To help us process your request as quickly and securely as possible, please complete all applicable sections below. If you have questions, our Records Team is available at records@eliterecoverymn.com or (612) 719-4137.

Your privacy is important to us, and we will only release records as authorized by you or your legal representative.

Self Records Release Form

Use this form to document your consent for our communication of your confidential information with other individuals or agencies.

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  • Records Disclosure:

  • Your signature here attests to your agreement with the information on this form and authorization of disclosure of your protected health information pursuant to the restrictions, routes, methods and details contained.
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What our customers say about us

Client Testimonials

I just want to pass on to you guys that I’ve had a life changing experience at your facility. I was on edge about outpatient services and didn’t know how it would impact my life and never would have imagined it would have impacted my life the way it has. I’m very thankful for having the opportunity to be a part of Elite Recovery. Also, my counselor is the best counselor I’ve had in my recovery experience the last 2 years....

Samantha R.

Healthcare Professional

I wanted to take a minute to tell you both how EXTRAORDINARY my counselor is. She is compassionate, genuinely interested in the clients and ALWAYS brings a positive attitude to groups. I have worked in health care for MANY years and can spot an authentic person from a mile away. She handles difficult clients and situations with ease and ALWAYS leaves me feeling valued. She is a gem and TRULY appreciated!

Dawid W.

Healthcare Professional

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James L.

Cascade Holdings