Request a Medical Record

Slide 1

It's easy to request a medical record from a patient visit at any of our hospitals, Freeman Urgent Care, Freeman Heart & Vascular Institute, or any other Freeman facility. Just follow these two steps:

  1. Do one of two things:
  2. Complete the following online request form below based on where you received care: Freeman Health System - All Locations
    Freeman Health Clinic Group
    Freeman Hospitals
    Freeman Surgical Center - Pittsburg
  3. Print and complete the Authorization for Release of Information form and fax, mail or email the completed form to us.
    Fax 417.347.6842
    Mailing address
    Freeman Health System
    Attn: Medical Records
    1102 West 32nd Street
    Joplin, Missouri 64804

If you have questions about a medical record, contact the Release of Information Department at roi@freemanhealth.com or 417.347.6685.

HIPAA Revocation Form

Ozark Center Medical Record Request

It's easy to request a record from Ozark Center. Just follow these two steps:

  1. Print and complete our Release of Patient Information form
  2. Email the form to ocreleaseinfo@freemanhealth.com or fax the completed form to 417.347.9129

Please feel free to call 417.347.7476 or email ocreleaseinfo@freemanhealth.com with any questions.

billing request

To request billing records please contact Patient Accounts at 417.347.6660. Requests for itemizations can be requested 24/7 on our message line. Claims request(s) do require a release of information form to be completed prior to release. If you would like a claim, please complete the Authorization for Release of Information form and return as directed.

Fax or mail the completed form to us at 417.347.5818