Memorial Community Hospital and Health System’s Medical Records Department is here to assist you. Please call us at (402) 426-1139 if you’d like to request a copy of your medical records or click the button below for the Consent for Release of Information form. You can email the completed form back to email@example.com or you can mail it to:
Memorial Community Hospital & Health System
Health Information Management
810 N. 22nd Street
Blair, Nebraska 68008
Please be advised that we do not accept electronic signatures for record requests at MCH.
There will also be a charge for copying your Medical Records, (excluding immunization records).
If you choose, we can fax your Medical Records directly to your new doctor or medical facility free of charge.