Health Information Management
(Medical Records)
The
Health Information Management (HIM) Department is responsible for ensuring each
health record is complete, accurate, kept confidential and made available when
needed.Department hours are Monday through Friday,
8 a.m. to 4 p.m.
Requesting Medical Records
When copies of a patient's medical record are needed, the Release of Information (ROI) staff is available to help during regular departmental hours posted above.
To obtain a copy of medical record, call us at 620-872-7726 or mail us a completed Authorization for Release of Health Information form (for release to a third party such as another hospital, clinic, or insurance company) or a completed Request to Inspect or Copy Health Information form (for personal access.) Please note that a fee may apply, so please take a moment to read the information below. If you choose to download and print the authorization form or the request to inspect form, complete it and mail or fax to:
Scott County Hospital
Health Information Management
201 Albert Avenue
Scott City, KS 67871
Fax: 620-872-7193
The Health Insurance Portability and Accountability Act (HIPAA) requires that all portions of the authorization form be completed. The form must be signed and dated by the patient or their legal representative. Please call 620-872-7726 if you have any questions. See instructions below for completing the appropriate forms.
How much does it cost?
Continuing Care - There is no charge to send your information to another physician or health care facility for continued care.
Personal Request - There is a reproduction fee of $0.63 per page up to 250 pages and $0.45 per page for pages 251 and above.
How long will it take to get a copy of my record?
The average turnaround time for a request is two (2) weeks. Depending on circumstances HIPAA does give the Hospital a 30 to 60 day window to respond to personal requests for medical records. You may come to the hospital to pick up the record, but we encourage you to call 620-872-7726 to assure its availability.
Birth Certificates
Birth certificates are not available from Scott County Hospital. To
request a birth certificate please contact the Kansas Department of Health and
Environment Office of Vital Statistics at
http://www.kdheks.gov/vital/birth.html or by calling 785-296-3253
between
8:00 a.m. and 4:00 p.m. Central Time weekdays.
Printable Forms
Request to Inspect or Copy Health Information
Scott County Hospital is dedicated to recognizing the value of every person, treating each with respect while promoting wellness and restoring health. We are a trained team of motivated and compassionate professionals utilizing modern facilities and developing comprehensive services. Serving local healthcare needs enables us to remain a strong community partner, healthcare provider and employer of choice.
Scott County Hospital is a 25 bed, acute/skilled care, Critical Access Hospital. Our hospital and medical clinic are staffed by 3 Family Practice Physicians, 3 Mid-Levels and 2 Nurse Anesthetists. Other departments include: Obstetrical, Surgery, Radiology, Out-Patient Rehabilitation Services, Emergency Medical Services, and Home Health.
