Medical Record Copy Fees
- For records sent directly to a provider or other health care facility for continuing care, there is no fee.
- For patients only, below are the standard fees to produce a copy of your medical records.
- The FIRST TWO PAGES are FREE and the remaining pages are billed as follows:
- Electronically maintained records delivered in electronic format $6.50
- Electronically maintained medical records combined with paper records delivered in Electronic format are billed at $6.50 (for the electronic portion) + $0.07 per page (for the paper portion) for labor involved in creating an electronic
copy of the records maintained on paper
- Electronically maintained records delivered on paper are $0.90 for labor cost to create the paper copy of the record maintained electronically plus $0.05 per page for paper and toner
- Paper records delivered in electronic format are $0.07 per page for the labor involved in creating an electronic copy of the records
- Paper records delivered on paper are $0.12 per page
- Plus, postage and applicable taxes
- Electronically maintained records delivered in electronic format $6.50
- The FIRST TWO PAGES are FREE and the remaining pages are billed as follows:
Instructions for requesting medical records from CHI St. Vincent hospitals in Arkansas.
Select from the options below.
Medical Records Online
Medical Records can now be accessed online. Click here to access the online request.
Medical Records - Hot Springs
To request medical records from CHI St. Vincent Hot Springs- for patients requesting their own records click here.
For records to be provided/sent to someone else please download and complete this authorization form. Completed forms should be faxed, mailed or delivered to:
CHI St. Vincent Hot Springs
Attn: Health Information Management
(1st Floor of Hospital)
300 Werner Street
Hot Springs, AR 71913
Phone: 501-622-1011
Fax: 501-622-2040
Hours: Monday-Friday, 8am-4:30 pm
Time to receive medical records: Requests for medical records will be responded to within 30 days of receipt of request.
Requesting Medical Records for a Family Member or Friend:
The patient will need to give written consent. If they are unable to give written consent, please call our Health Information Management Department at 501.622.1814 to discuss options.
Clinics, Hospitals Medical Records Requests:
Your physician's office can FAX a written request to 501-622-2040.
Patient, Attorney, Court Orders, Insurance Record Requests: Hospitals, clinics and other facilities needing records for Continuation of Care please fax to 501-622-1687.
Patient, Insurance and Attorney requests
please fax to 501.622.1687.
Medical Records - Infirmary, Morrilton, North
To request medical records from CHI St. Vincent Infirmary, Morrilton or North - for patients requesting their own records click here.
For records to be provided/sent to someone else please download and complete this authorization form. Completed forms should be faxed, mailed or delivered to:
CHI St. Vincent Infirmary
Health Information Management
2 St. Vincent Circle
Little Rock, AR 72205
Phone: 501.552.3659
Fax: 501.552.8658
Hours: Monday-Friday, 8am-4:30 pm
Requests for medical records will be responded to within 30 days of receipt of request.
Requesting Medical Records for a Family Member or Friend: The patient will need to give written consent. If they are unable to give written consent, please call our Health Information Management Department at 501.552.3659 to discuss options.
Physician Requests for Medical Records: Your physician's office can FAX a written request to 501.552.8658.
Ciox Health is an approved release of information vendor for CHI St. Vincent in Health Information Management Services.