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Request Your Medical Records

Our Health Information Management department is here to help you when it comes to accessing your medical records. The department is open Monday through Friday from 8 a.m. to 4:30 p.m. 

Request for Access to Protected Health Information

Please complete the Request for Access to Protected Health Information form to have a copy of your medical records sent to you.

Authorization for Release of Information

In order for Franciscan Care Services to release medical records to anyone other than an individual patient, the patient must complete the Authorization for Release of Information form.

Completed Forms may be returned in person, by mail, or fax to:

Franciscan Care Services
Health Information Management
430 N Monitor St.
West Point, Neb. 68788

Fax: 402-372-6768

For questions or more information about obtaining medical records: 402-372-6724