Release of Medical Records
Hays Family Medicine is happy to provide you with a copy of your medical record for follow-up care, insurance purposes or your own use.
To request a copy of your medical records, mail or bring a completed Authorization Form to:
Hays Family Medicine
2509 Canterbury
Hays, KS 67601
8:00 am - 5:00 pm
Monday - Thursday
Friday 8:00 am - 4:00 pm
785.623.5594
Fax 785.623.5080
CLICK HERE for Authorization Form.
Charges
Continuing Care - no charge if the records are sent directly to another care provider. Please enter the care provider's name and address on the authorization form in Section 3.
Personal Use - 60 cents per page