Request Medical Records

In this Section

Medical Records Information

 

Release Forms:
*Medical Records Department phone numbers can be found by clicking on either form below.

**Please Note: You will be charged a small fee for a full copy of your medical records or for more than one copy of any portion (or portions) of your medical records. There is NO charge for a single copy of any ONE portion of your records.

General Medical Information Release Form

Spanish General Medical Information Release Form

Behavioral Medicine Medical Information Release Form

 

Ascension

Site Map | Disclaimer | Privacy Policy | Non-Discrimination Statement
Copyright © 2018 Ascension | All Rights Reserved