Southern Minnesota Surgical, Inc.

Thank you for visiting Southern Minnesota Surgical Inc.

As of September 30, 2013, Dr. Lee is no longer seeing patients in the Southern Minnesota area.

Medical Record Release Form

Dear Patients:

I am writing to advise you that at this time I am closing Southern Minnesota Surgical and will no
longer be practicing in the Blue Earth/Mankato area, effective September 30, 2013. If an
emergent situation does arise, please call 911. You may contact my office at 507-526-3460,
through October 31, 2013, with questions or concerns.

For any future care needs, a number of options are available. One, I will be available for
bariatric and general surgery needs in Mora, Minnesota, at FirstLight Health System. That phone
number is 1-800-245-5671. Secondly, for bariatric patients only, there are a number of options.
Those of you, in Iowa, can contact Dr. Stanley Hahn at Mercy Bariatric Center in Mason City,
Iowa, at 641-428-7799. If you choose to go closer to the Minneapolis area, you may contact Dr.
Jeffery Baker in Fridley, Minnesota, and his phone number is 763-236-2180. If you live towards
Sioux Falls, you can contact the Sanford Clinic in Sioux Falls at 605-328-3840. For general
surgery needs, contact your primary care provider, for a referral.

I am including a medical record release form that requires your signature and identification of
the physician selected. Once my office receives the signed form, your records will be transferred
to the healthcare provider’s practice. It would be appreciated if the signed release form was
returned to our office by October 15, 2013. After that date, your medical record will be available
by contacting FirstLight Health System, Mora, Minnesota, Medical Records Department, at
1-800-245-5671. I certainly apologize that your chart is not remaining local, as support for
maintenance and care of the charts was not available.

I am truly sorry for the inconvenience at this time. It has been a pleasure to provide your care. If
you have any questions or concerns, please do not hesitate to call the office.

Sincerely,
William Lee, MD

Contact us at 507.625.3460 or toll-free at 888.925.3460.