Information Regarding the Release of Medical Records
Please be advised that all requests for medical record information are processed and released by HealthPort Technologies. HealthPort 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 HealthPort.
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 HealthPort Corporate office within three to five business days.
The cost of copies will be dependent on the information requested. An invoice will be provided with your copies.
- Form to Request the Release of Medical Records from Terre Haute Regional Hospital
- Spanish-Speaking Form to Request the Release of Medical Records from Terre Haute Regional Hospital
- Form for Fee Payment Related to the Release of Medical Records
- Spanish-Speaking Form for Fee Payment Related to the Release of Medical Records