Medical Release Forms

Looking to obtain a copy of your medical records?

We offer two ways to access your medical record:

MyHealthONE^® Patient Portal:

MyHealthONE consolidates many common tasks into one secure, easy-to-use online patient portal. It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day.

*Note that some medical records may only be available through our hospital Medical Records office.

Access Patient Portal

Paper Copy of Medical Records:

Please complete the following steps to obtain a paper copy of your medical records:

1. Print and complete the Medical Records Release Form.
2. Complete, sign and date the form. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver’s license, military I.D. or state I.D.).
3. Mail, email, fax or personally deliver your paperwork to the facility where you were treated.

For further information or assistance call (866) 270-2311.

Urgent Requests, Records for your Physician

For immediate continuity of care, your healthcare provider can request records.

The physician office must fax a written request on their letterhead to (877) 865-9738 indicating the patient's name, date of birth and date of visit in the facility and place "STAT" at the top of their request. For assistance call (866) 270-2311.

Insurance, Attorney, Disability and Third Party Requests

Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below.

Mail request to:

Nashville Health Information Management Service Center (HSC)
Attention: Release of Information
PO Box 290429
Nashville, TN 37229-0429

Phone: (866) 270-2311