For questions, the Health Information Management Department can be reached at 785-295-8160 and follow the prompts for the appropriate selection. To fax in a request for medical records, please send it to 785-379-2457.
A HIPAA-compliant request for records must contain the following information:
A description of the information that will be used/disclosed. It is important to indicate what records are needed as well as a date range. This will expedite the request.
The purpose for which the information will be disclosed
The name of the person or entity to whom the information will be disclosed
A signature and date that the authorization is signed by an individual or an individual's representative. If a representative is signing the form, the relationship with the patient must be detailed along with a description of the representative's authority to act on behalf of the patient.
Download and Complete the form to request records: