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Request a Medical Record

Phone: 417.347.6685
Fax: 417.347.6842

Request a Medical Record

It's easy to request a medical record from a patient visit at any of our hospitals, Freeman Urgent Care, Freeman Heart & Vascular Institute, or any other Freeman facility. Just follow these two steps:

  1. Do one of two things:

  2. Complete the following online request form below based on where you received care:

    Freeman Health System - All Locations
    Freeman Health Clinic Group
    Freeman Hospitals
    Freeman Surgical Center - Pittsburg

  3. Print and complete the Authorization for Release of Information form and fax, mail or email the completed form to us.
      Fax 417.347.6842
      Mailing address
      Freeman Health System
      Attn: Medical Records
      1102 West 32nd Street
      Joplin, Missouri 64804  

     Email
     roi@freemanhealth.com

If you have questions about a medical record, contact the Release of Information Department at roi@freemanhealth.com or 417.347.6685.

HIPAA and Reproductive Health Information (RHI) Attestation

With the recent update to the HIPAA Privacy Rule (45 CFR parts 160 and 164), certain types of requests for protected health information (PHI) that may involve reproductive health information (RHI) now require an attestation. These specific categories of requests are:

1.    Health oversight activities
2.    Judicial and administrative proceedings
3.    Law enforcement purposes
4.    Disclosures about decedents to coroners and medical examiners

If your request falls within one of these categories, please ensure that the appropriate attestation form is completed and sent to Medical Records using one of the submission methods indicated above. You can access the attestation form here.

HIPAA Revocation Form

Click here to access the HIPAA revocation form.

Ozark Center Medical Record Request

It's easy to request a record from Ozark Center. Just follow these two steps:

  1. Print and complete our Release of Patient Information form 
  2. Email the form to ocreleaseinfo@freemanhealth.com or fax the completed form to 417.347.9129

Please feel free to call 417.347.7476 or email ocreleaseinfo@freemanhealth.com with any questions.

billing request

To request billing records please contact Patient Accounts at 417.347.6660. Requests for itemizations can be requested 24/7 on our message line. Claims request(s) do require a release of information form to be completed prior to release. If you would like a claim, please complete the  Authorization for Release of Information form and return as directed. 

Fax or mail the completed form to us at  417.347.5818