Medical Record Requests

Our Health Information Management (HIM) Department maintains all patient medical records. The medical record is a permanent document of the history and progress of every patient’s medical care and is a compilation of observations and findings recorded by the patient’s physician and members of the hospital healthcare staff.

Patients have the right to receive a copy of their medical records or inspect them, but requests must be made in writing using the forms below.

• The Authorization for the Use or Disclosure of Protected Health Information form is for use when a patient is requesting that their records be sent to someone else (doctor, insurance, attorney, etc.).
• The Patient's Request for Access to Protected Health Information form is for patients or their representative who are requesting records on themselves.

Please print the appropriate form, fill it out and return it in person to the HIM department at the hospital you visited. HIM will verify your identity by photo I.D., signature or pertinent questions. We do this to protect the privacy and confidentiality of your records. Hours of operation are Monday-Friday, 8:00am – 4:30pm.

If you have any questions, please contact HIM at the phone number listed below: