Medical Records Request

Skip to main content

Contact Us

Search:

Home
SWTCEMS
STCHSD
Education
- CPR Classes
Patient Menu
- Accessibility / Transparency
- Contact Us

This item appears on

Patient Menu

Medical Records Request

Your First Name

Your Last Name

Your Email

Your Phone Number

Are you requesting this on behalf of someone else?

Yes

No

If "No", provide the full legal name of the person you are requesting records for

If "No", what is your relationship to the patient?

Patient Birth Date

Records Requesting

Additional Comments

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Thank you, your submission has been received.

Public Records Request

Search results

Search:

Website Accessibility Statement

Southern Teller County Health Services District (the "District") is committed to ensuring that its services are accessible to all members of the public. As part of this commitment, the District strives to provide an accessible website compatible with the Web Content Accessibility Guidelines (WCAG) version 2.1, AA, and commercial screen reading software. Features of the website are created to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities.