Medical Record Requests

Medical Record Requests

You can make requests about your hospital medical record to the Health Information Management Department. Obtain a copy of your medical record with our release form, Authorization for the Use or Disclosure of Health Information. Or, request a change in your medical record with the form Request for Amendment to Health Information.

Submit completed forms to:
Hendricks Regional Health
ATTN: Health Information Management
P.O. Box 409, Danville, IN 46122
Fax: (317) 745-3743
Phone: (317) 745-8635