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Medical Records

Patients & Visitors

Medical Records

You can request a copy of your medical record by completing an authorization form.

DOWNLOAD AUTHORIZATION FORM


Spanish language version:

DOWNLOAD SPANISH FORM


Or, you can pick up an authorization in the Medical Records department, Mon. - Fri., 8:30 am - 4:30 pm.

During non-business hours, copies of the authorization and instructions can be found on the wall outside Medical Records of Anderson, Clermont, Mt. Airy, Western Hills and Jewish hospitals. A picture I.D. is required at the time of the request.

Mail

Send your request to:


Anderson Hospital

Attn: Medical Records ROI
7500 State Road
Cincinnati, Ohio 45255


Clermont Hospital

Attn: Medical Records ROI
3000 Hospital Road
Batavia, Ohio 45103


Fairfield Hospital

Attn: Medical Records ROI
3000 Mack Road
Fairfield, Ohio 45014


Mt. Airy Hospital

Attn: Medical Records ROI
2446 Kipling Avenue
Cincinnati, Ohio 45239


Western Hills Hospital

Attn: Medical Records ROI
3131 Queen City Avenue
Cincinnati, Ohio 45238


The Jewish Hospital - Mercy Health

Attn: Medical Records ROI
4777 E. Galbraith Road
Cincinnati, Ohio 45236

Telephone

We're happy to mail you an authorization form. Please call the number of your hospital listed below.

Anderson Hospital: 513-732-8388
Clermont Hospital: 513-732-8731
Fairfield Hospital: 513-682-7259
West Hospital: 513-215-0735
The Jewish Hospital: 513-686-5029
Western Hills Medical Center: 513-215-0735


When will I receive a copy of my medical record?

Please allow 30 business days for us to process your request. In some cases, the information you need may be stored at one of our offsite storage locations so additional time may be required to process your request.
Please be sure to fill out the authorization form accurately. Inaccurate information on the form may cause delays in providing you with the information you requested.

If your request requires a fee, you will be notified of the fee before the record is sent.




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Date Last Modified: 6/27/2014 11:54:27 AM