Medical Records
With the current COVID-19 restrictions, the process for requesting a copy of your medical records is as follows:
Complete an authorization to release records
To receive an authorization:
Complete the authorization, including address or fax number where the records need to be sent and include the signature of the patient.
Return the form by:
- Mail: Attention: Medical Records, 900 Hospital Drive, Madisonville KY 42431
- Fax: 270-825-5942 Attention: Medical Records
If you are taking the medical records to a physician’s office, have them call and request the records. HIM can fax the records directly to the physician’s office.
HIM will be answering phones during the hours from 8 AM to 4 PM, Monday through Friday. Please call 270-825-5256 with any questions.
Please do not come to the hospital to request medical records.
*We apologize for the inconvenience, but due to the need for a signature, we cannot accept any e-mailed copies of this form.