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Patients wishing to request a copy of their medical record should complete an Authorization for Release of Patient Information (PDF) form. Once complete this form can be faxed to 740.845.7101 or mailed to:
Patients may also request copies of records in person by stopping by the Medical Records Department and completing the Authorization for Release of Patient Information form at that time.
Medical Records Hours:
Please remember to bring a photo ID for verification purposes when both requesting and/or picking up copies of your medical records.