Text Size:SmallerNormalLargerPrint PageE-mail Page

Records Request


Records requested for any reason other than continuation of care are subject to fees for cost of providing records.

Fee Schedule:

FIRST 15 MINUTES
ADTL 15 MINUTES
PAGES
ENVELOPE
FIBER ENVELOPE
RADIOLOGY DISK
DISK MAILER
$5.67
$2.75 each
$0.01
$0.04
$0.52
$0.85
$0.31

Please allow a minimum of 48 hours for all requests to be processed.
No records will be sent without written documentation of some form.
Click on the link below for the Release Form. Once completed, please email, fax, or mail your request.

HOSPITAL AUTHORIZATION FORM


Email: recordsrequest@scotthospital.net
Fax: (620) 872-7193
Phone: (620) 872-5811 ext. 333
Address: 201 Albert Ave.
Scott City, KS 67871