Medical Records - Health Information Management
Hours of Operation:
Monday through Friday; 7:30 am to 4:00 pm
Release of Information Clerk: (330) 343-3311, ext. 2326
The Health Information Management (Medical Records) office is located on the ground floor of the hospital.
Obtain Copies of Your Medical Records
Patients may obtain copies of their medical records in one of two ways.
- Download and print a copy of the Authorization for Release of Information form.
- Fill out the form
- Sign and date the form
- Mail the form to:
Health Information Management
Union Hospital
659 Boulevard
Dover, OH 44622 - Come to Union Hospital's Health Information Management (Medical Records) office and fill out the Authorization for Relese of Information Form in person.
You must bring a photo ID with you to obtain copies of your medical records.
Starting June 1, 2008, there will be a charge for copies of your medical records. This fee is in accordance with the Ohio Revised Code. Copying charges in 2008 are:
- $2.74 per page for the first 10 pages
- $0.57 per page for pages 11-50
- $0.23 per page for additional pages over 50
The charge for data recorded on someting other than paper (e.g., x-rays, CDs) is $1.87 per page/document.
