Medical Records Release

Hays Family Medicine is happy to provide you with a copy of your medical record for follow-up care, insurance purposes or your own use.

To request a copy of your medical records, mail or bring a completed Authorization Form to:

Hays Family Medicine
2509 Canterbury
Hays, KS 67601

8:00 am - 5:00 pm
Monday - Thursday
Friday 8:00 am - 4:00 pm
Fax 785.623.5080

CLICK HERE for Authorization Form.


Continuing Care - no charge if the records are sent directly to another care provider. Please enter the care provider's name and address on the authorization form in Section 3.

Personal Use - 60 cents per page