How do I initiate a proxy authorization?

To share your information or receive access to another person’s information, you must complete the appropriate proxy authorization forms which are available from any Ridgeview health care provider.

Minor Patient Proxy Authorization

Adult Patient Proxy Authorization

Return form to Health Information Management Department:

E-mail: proxyform@ridgeviewmedical.org OR Fax: 952-442-6037 
OR Mail to: Ridgeview, Attn: ROI, 500 S Maple St, Waconia, MN 55387