Release of Medical Records

Release of Medical Records

Hays Medical Center 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:

Health Information Management Department
Hays Medical Center
2220 Canterbury
Hays, Kansas 67601

8:00 am – 4:30 pm
Monday – Friday
785-623-5824
Fax 785-623-5826

CLICK HERE for Authorization Form

Charges

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

Personal Use – see fee schedule listed below:

Paper Fee for copies of records:
Page 1 – 10 = 50 cents per page
Pages 11+ = 25 cents per page

These new rates are effective 02/01/2016

Fee for electronic duplication (CD or email, etc.) of records:
Flat rate of $6.50

This new rate is effective 03/01/2016