Requesting Medical Records
Requesting Medical Records
If you need a copy of your medical record, the Release of Information (ROI) staff of the Medical Records Department are available to assist you. The ROI staff are available Monday–Friday, 8 a.m. to 4:30 p.m. The Medical Records Department is located just off the main hospital lobby adjacent to the hospital's chapel.
If you need a copy of your medical record you can either come to the Medical Records Department to fill out an authorization in person or (download the PDF) authorization form and fill it out and fax it or mail it, along with a copy of you photo identification, to:
Jane Phillips Medical Center
Medical Records Department
Attn: Release of Information
3500 SE Frank Phillips Blvd.
Bartlesville, OK 74006
Fax : 918-331-1249
Oklahoma State law provides that we can charge $1.00 for the first page and $.50 for each additional page, plus postage. Radiology films have a flat rate of $5.00. An estimate of the cost can be provided upon request and before the records are copied. Pre-payment is required before records are released.
Record requests take approximately 3-5 business days to fill. (Copies of archived records may take longer.)
