Request Medical Records

---

Please print and complete the authorization form (formulario de autorización) if you would like a copy of your medical records. Be sure to complete the form in it's entirety to avoid delays with processing your request. We will need a copy of your driver's license or a valid ID when you submit your request.

You may fax your information to (601) 936-2262 or mail your request to:
Health Information Management
Attn: Medical Records
1030 River Oaks Drive
Flowood, MS 39232

To get the status of a request, you may call 1-800-560-3800. For all other concerns, you may call (601) 936-1066 and someone can assist you during our business hours, Monday - Thursday, 8 a.m. to 4:30 p.m. and Friday, 8 a.m. to 4 p.m.