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You have the right to request your medical records at any time. You can request your records for personal use or request that we share them with other providers to support the continuity of your care.

Your records are considered protected health information (PHI). To protect your privacy, please use one of the options below to request your records.

Request Your Medical Records

To access our digital release form and submit your request online, click here.

For providers requesting patient information, please click here.

To complete and submit a paper request, use the form below:

  1. Authorization for Disclosure of Health Information Form (English)
  2. Authorization for Disclosure of Health Information Form (Spanish)

Please return completed paper forms to the front desk or email them to HIM@richlandhospital.com