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 = 25 cents per page
Pages 11+ = 15 cents per page up to a maximum of $25.00

Fee for electronic duplication (CD or email, etc.) of records:

Flat rate of $14.85

This new rate is effective 08/10/2020