Located in the Heart of Western Oklahoma...
 
 
 
Patient Info

Release of Medical Records

The “Authorization for Release of Health Information” can be mailed or you can personally deliver the request to the Weatherford Regional Hospital Health Information 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 give a daytime phone number to contact once the request has been completed.  Records will not be faxed to patients.

Authorization for Release of Health Information Form (PDF)

Weatherford Regional Hospital releases copies of patient records upon request provided we receive a valid authorization signed by the patient or legal representative.

If picking up your requested records, please bring one of the following forms of identification and necessary documents (if applicable) to validate release of information.

Acceptable ID’s include:

  • Driver’s License
  • State Issue ID
  • Current School ID
  • Military ID
  • VA ID
  • Valid, Current Passport

Other documents as applicable:

  • Power of attorney
  • Legal guardianship papers
  • Divorce Decree
  • Death Certificate

In accordance to State Statute 76 o.s. 2001, section 19, Weatherford Regional Hospital provides charges one dollar ($1.00) for the first page, and fifty cents ($0.50) for each subsequent page copied from the medical record.

Please allow 30 days from the date of discharge for record processing before requested copies will be available.

If you have any questions, please contact Weatherford Regional Hospital and ask for the Health Information Services Department.