Director of Health Information
Carroll County Memorial Hospital
(660) 542-1695 ext 3033
The Health Information Department is available from 8 am to 4:30 pm, Monday through Friday, to provide patients with copies of their medical records. We are located on the top floor of the old Jefferson Medical Pavilion building across the street from the main hospital.
Walk-In requests are available for small requests, but if you have a large request we ask that you call in advance so that we can have them ready for you when you arrive. Please call the main hospital number, 660-542-1695 and ask to be transferred to the HIM Department and we will be happy to assist you with your medical records requests.
Please note that there are several HIPAA regulations that we must follow prior to processing your requests.
Patients must sign a release of information form when picking up medical records. Please bring a picture ID with you as you may be asked to provide this information when picking up your records.
Each patient must sign for themselves if they are over the age of 18. A parent may not pick up their child’s records if they are over the age of 18, even if they still live at home and the parent provides their health insurance. If the patient is over the age of 18 and has a legal guardian, you must provide documentation that states you are the guardian and it must be signed by the appropriate legal personnel.
If the patient is under 18, a parent or legal guardian must sign for the records. There are several instances when a patient under the age of 18 may pick up their own records, i.e., if they have a child of their own, they are married, or if the records pertain to pregnancy, STD testing or mental health issues as outlined by HIPAA.
A married couple does not automatically have access to their spouse’s medical records without the written permission of the other spouse.
When requesting records for a deceased patient, please note that any DPOA or Advanced Directive that was signed while the patient was living is null and void upon the death of the patient. In order to have access to these records, you must obtain papers from the court stating you are the executor or administrator of their estate or in some cases the request can be granted based on a hierarchy system with next of kin having access. Each request will be reviewed on a case by case basis to see who qualifies as next of kin. If you are deemed next of kin and able to pick up records you will need to provide a copy of the death certificate and show that you were actively involved in the care of the patient prior to their death.
A request for medical records does not guarantee that the request will be fulfilled. There are certain instances where records will not be released.
If you have any questions, please contact the HIM Department and we will be happy to help you.