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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.

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