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Complete the SAFD Records Request Form and upload to our portal at Open Government Portal. If you suspect that your bill is incorrect, or you need more information about a transaction, you should complete this form.Set up an account now. Forms on this website are PDF forms with fillable fields. Send completed Request Form and payment to: Records Center Hennepin County Government Center 300 South. Payment must be received at the time of filing. Certification and Copy Requests. The form to revoke authorizations previously submitted; Billing information. You may be able to request your record through your provider's patient portal. Information and forms you will need to obtain your medical records from the University of Chicago Medicine.