Health Information Services
The “Authorization for Release of Health Information” can be mailed, faxed or personally delivered to the MRHC Health Information Services department. If you do not want your records mailed to you, please indicate on your authorization that you wish to pick up the records and indicate a daytime phone number to contact once the request has been completed.
MRHC releases copies of patient records upon request when provided with a valid authorization signed by the patient or legal representative, along with a copy of a valid photo ID (see list below).
If picking up requested records, please bring one of the following forms of identification and necessary documents (if applicable) to validate release of information:
Acceptable Photo IDs Include:
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Driver's license
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Employment ID
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State Issue ID
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Current School ID
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Military ID
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VA ID
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Valid, Current Passport
Other documents as applicable:
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Power of attorney
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Legal guardianship papers
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Divorce decree
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Death certificate
In accordance to State Statute 76 o.s. 2001, section 19, MRHC charges one dollar ($1.00) for the first page and fifty cents ($0.50) for each subsequent page copied from the medical record. The charge for copies of radiology films, photographs or other images shall not exceed five dollars ($5.00) or the actual cost of reproduction, whichever is less. The hospital will charge the requestor the actual cost of mailing the patient’s medical record copies.
Please allow 30 days from the date of discharge for record processing.
If you have any questions, please contact the MRHC Health Information Services Department at 918-421-8076. If you would like to fax the release, the fax number is 918-421-8163. When faxing requests, please be sure to include photo ID.
Click here to download a PDF version of the Authorization for Release of Medical Information form.
