Thank you for choosing Hocking Valley Community Hospital to receive your medical care. So we can always provide you with excellent customer service, please print the form available on this page if you need a copy of your medical records and mail that request form to the address below or bring it to the Medical Records Department. Please use this form as well, to have us send your records to another hospital, a physician or for any continued medical care.
Hocking Valley Community
To request copies of your
medical records, or the records of someone you have
representation over, i.e. minor child, Guardian, POA,
Executor of an Estate, Survivorship, etc., use the
contact form available at the very bottom right hand side of the page.
There is a charge for copying medical records for personal use and for attorneys.
$5.00 Pull fee
Forms Available to Download