Medical Record Request

If you would like to request a copy of your medical record, please click on the link below or you may contact Health Information Management at 419-226-9018. 

Medical Record Request

Your results will be available for pick up in two business days, Monday through Friday at Health Information Management between the hours of 7:00 a.m. to 5:30 p.m. 

You will need to bring a means of identifying yourself before we can release your medical records. Please bring either a driver's license or other type Photo ID.

 If you do not have a driver's license or other type of Photo ID, please bring 2 forms of identification, such as" 

  • Social Security Card
  • Check Stub
  • Bank Statement
  • Tax Return
  • Utility Bills
  • Charge Account Bills