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Medical records

Patients wishing to request a copy of their medical record should complete an Authorization for Release of Patient Information (PDF) form. Once complete this form can be faxed to 740.845.7101 or mailed to:

Medical Records
Madison Health

210 North Main Street
London, Ohio 43140

Patients may also request copies of records in person by stopping by the Medical Records Department and completing the Authorization for Release of Patient Information form at that time.

Medical Records Hours:
8:00am–4:30pm, Monday–Friday

Please remember to bring a photo ID for verification purposes when both requesting and/or picking up copies of your medical records.

Requests for records for continuity of care are processed immediately. In accordance with HIPPA guidelines, records are typically processed within 30 days. You will be contacted if the request will take more than 30 days to fulfill. There may be a charge associated with medical record copies. For more information on how to request chart copies, labs or other diagnostic testing, please contact the Medical Records Department at 740-845-7102.

For more information regarding medical record reviews, please contact the Director of Medical Records at 740.845.7120.

Related info

To obtain copies of your
medical records, contact

Medical Records:
740.845.7102

Toll free: 866.357.4677

Medical Records Fax:
740.845.7101

Authorization for Release of Patient Information (PDF)