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Medical Records

The Medical Records Department is here to assist all patients in obtaining their healthcare related information. To ensure your privacy, Huron Medical Center will only release medical records to the person receiving treatment or their legal representative in accordance with federal laws.

 

Hours

 

Monday - Friday | 7:00 AM - 3:30 PM 

Phone & Fax

Phone | (989) 269-9521 - ask to be transferred to Medical Records.

Fax | (989) 269-5215

Requesting Records

 

Please bring the following items with you when you make your request:

  • A completed and signed Authorization for Release of Information form available on this page. The form must be filled out completely and signed by the patient or the patient’s legal representative. The signature of the patient’s representative must be witnessed by someone over the age of 18. This can also be completed in the Medical Record Department.

  • Copy of driver's license or valid photo ID

  • Legal representative must bring legal documents attesting to their authority. If a patient is sending someone to pick up their records on their behalf, they must provide the person’s name on the Authorization of Release of Information form. The designated Individual will need to bring their photo ID with them.

Medical Record Release Form

Please print this document. Fill it out, and bring it with you to the Medical Records department.

© 2017 

Huron Medical Center

1100 S Van Dyke Rd , Bad Axe, MI 48413
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