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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

7:00 am – 5:30 pm
Monday – Friday
Fax 785.623.5826

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 – see fee schedule listed below:

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

Fee for electronic duplication of records:
Images 1 – 10 = 50 cents per pages
Images 11+ = 15 cents per pages

These new rates are effective 02/01/2016