St.Vincent requires written authorization for the release of records. You may submit this authorization form in person Monday through Friday between 8:00 a.m. and 4:00 p.m. or mail it to: Health Information Management Attn: Release of Information St.Vincent Anderson Regional HospitalPlease specify the facility as St.Vincent Anderson Regional Hospital or state that records are being requested from all. If you submit the request in person, we also require picture identification.
The copying fees consist of a labor charge of $20.00. This includes the first ten pages of records, 50¢ per page for pages 11-51 and 25¢ per page for pages 51 and greater. Other charges may apply for postage, stat requests or certifications.
Please have your document signed by the appropriate person, based on these guidelines:
NOTE: If information concerns a minor treated primarily for drug and/or alcohol abuse, consent need only be given by the minor.
You can download the Request for Information Form online.