Please be advised that all requests for medical record information are processed and released by CIOX Health. CIOX Health is a copy service that HCA has partnered with to provide release of information services for all HCA hospitals. With this in mind, all medical record requests for Terre Haute Regional Hospital will be forwarded to the Health Information Management Shared Services Center for processing by CIOX Health.

In order to better serve you and avoid processing delays, please complete all sections of the release of information authorization form. Requested information will be mailed to you from the CIOX Health Corporate office within three to five business days.

Downloadable Patient Forms (PDF)