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Additional Information
937.439.6186

Medical Records

The Health Insurance Portability and Accountability Act of 1996 (HIPPA) allows a fee to be associated with processing medical records requests.

Medical Records

For questions regarding your medical records, or to place a request for your medical records, please contact us through our secure patient portal. You can access the portal by clicking here. The portal is the preferred method of contact, but if you are unable to utilize the portal, please call our Medical Records department Monday through Friday between the hours of 8:00am-4:00pm at 937-439-6186; press option 4. To fax, dial 937-439-6189.

Requesting Records

The Health Insurance Portability and Accountability Act of 1996 (HIPPA) allows a fee to be associated with processing medical records requests. However, there is no fee for medical records requests sent directly to a physician or health care facility for continuity of care. Please allow 7-10 business days from the date received for processing.

MEDICAL RECORDS RELEASE FORMMedical Records Release Form

 

*The regulated fees in the State of Ohio are as follows:

  • Pages 1-10, $3.07 per page
  • Pages 11-50, $0.64 per page
  • Pages 51 and higher, $0.26 per page
  • Data resulting from X-ray, MRI or CAT scan, $2.10 per page
  • + the cost of postage