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Obtaining Copies of Your Medical
Records
H.I.M. Office hours at LMHS acute care hospitals are 8:30 a.m.
to 5:00 p.m., Monday-Friday. You may request photocopies
of your medical records from the Medical Records Department at the hospital where you were a patient.
A completed authorization to release information form
signed by you or by your legal guardian is required. You can get a release form while on the
nursing unit, from the Medical Records Department or by clicking on the form
below:
Authorization for Release of Medical Record Information #1062
Completely fill out the form; date and sign; and mail or fax to
the Medical Records Department of the
LMHS hospital where you were a patient. Proper identification will be required to pick up the
records.
Photocopies for personal use are charged at $1.00 per page.
Physicians on LMHS Medical Staff automatically receive
or can request copies of their patient charts.
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