Frequently Asked Questions

What is a medical record? 

Your Knox Community Hospital medical record is a summary of your medical history and the treatment provided to you at our hospital. It may include any or all of the following:

  • Your History and Physical (H&P)
  • Test Results
  • Consultations
  • Nursing Documentation
  • Physician Documentation
  • Discharge Summary

Can you mail copies
of the medical record?

Yes, but for your protection, authentication is still required. If you need to have us mail your record, please complete the authorization form online or in print and mail to 
Knox Community Hospital
ATTN: Medical Records
1330 Coshocton Road
Mount Vernon, OH 43050.

Submit an online request:

What if the patient is under 18? 

The parent or legal guardian must request and pick up the record.

What if someone besides myself needs a copy of my medical record?

Your medical information is private and confidential. In compliance with the federal government Health Insurance Portability and Accountability Act, Knox Community Hospital will not release records without proper authorization from you, your guardian or legal representative.*

I've changed physicians. Can I get copies of my hospital records sent to a different healthcare provider?

Yes. There is no charge for this service. You, your guardian or legal representative will need to mail or fax a written request or complete an AD-66 Authorization for Uses and Disclosure of Protected Health Information form* and submit it to Health Information Management to be processed. There is no charge to have medical record copies sent directly to a healthcare provider for your continued healthcare.

What if the patient is deceased? 

Knox Community Hospital may charge a reasonable, cost based fee for copies of deceased's medical records.  To request a copy of deceased's records and learn more about the fees, contact the HIM Department at 740.393.9051.