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Medical Records Release

Medical Records Release

Looking to get your medical records?

You may complete the release by filling out the form below or by downloading the PDF to the right.

  • Please be specific in what you’re requesting. (date(s) of service, procedures, admission, etc…)
  • It may take 5-10 business days to process, but usually is processed in lesser time.
  • ***Please be advised Community Memorial Hospital’s Retention Period is 10 years. Everything prior to that has been destroyed. ***
  • In cases of deceased patients, we need proper documentation that you are authorized to receive the patient’s medical records. Please include a HCP, POA, or Death Certificate naming you next of kin.
  • Records for ‘continuity of care’ (transferring primary care from one provider to another) are usually sent electronically to the Provider and are free of charge for the patient.

Please click below to download a PDF of the Medical Records Release Form.

Updated Visiting Hours: Effective Wednesday March 23, 2022

Visiting Hours: 1pm - 7pm daily

*These hours are subject to change

Each patient will be allowed the following:

  • Emergency Department & Inpatient: 4 visitors per day, 2 at a time
  • Ambulatory Surgery: 1 visitor per day

All visitors must undergo screening and wear a mask at all times. Visitors must be 12 years old or older.  If you have any questions or concerns please call Administration at (315)824-6082