Medical Records

Medical Records

Monday - Friday 8 AM - 4:30 PM
Closed Weekends and Holidays

Fax: 740.399.3113
Medical Record

Please follow these steps to obtain your medical records:

    You may complete an AD-66 (form to access medical records) by printing the authorization and mailing the completed form.
    Knox Community Hospital
    ATTN: Medical Records
    1330 Coshocton Avenue
    Mount Vernon Ohio 43050
    We will send your records immediately upon request.
  2. For walk-in clients, only the AD-66 form is available in the Medical Records department, or print and complete prior to your visit.
  3. You may access our patient portal (Follow My Health) to view and manage your personal health information.  To set up an account please follow the steps outlined
  4. Submit an online request for records to be mailed or sent to your provider.
    NOTE: Do not submit online if you plan to pick up your records in person. All online orders will be sent via US Mail.
  5. Fees and postage may apply.

We sincerely appreciate your cooperation and understanding.

Your Health Information Management Team

AD-66-Authorization for Use or Disclosure