CHI St. Vincent Medical Records

CHI St. Vincent offers a free, easy-to-use online tool for requesting patient records. You will need to verify your identity by uploading a photo of your driver’s license using your phone or computer.

Request records electronically

A signed, completed release form is required to release medical records of CHI St. Vincent Hot Springs patients. Please complete one of these two forms (a fee may apply):

• For personal use: Patient Access Request to Their Protected Health Information

• For records sent to someone else: Authorization for Use or Disclosure of/Access to Protected Health Information

You may fax, mail or deliver your completed authorization form to our Health Information Management office:

CHI St. Vincent Hot Springs
Attn: Health Information Management (1st Floor)
300 Werner Street
Hot Springs, AR 71913

Phone: (501) 622-1011 | Fax: (501) 622-2040
Hours: Monday–Friday, 8 a.m. to 4:30 p.m.
Processing Time: Requests will be processed within 30 days.

• Requesting records for a family member or friend: Written consent is required. If you’re unavailable to provide a written consent, call (501) 622-1814 for options.

• Physician requests: Fax a written request to (501) 622-2040.

• Attorney, court orders and insurance requests: Fax to (501) 622-1687.

A signed, completed release form is required to request medical records from CHI St. Vincent Infirmary, Morrilton or North. Please complete one of these two forms (a fee may apply):

• For personal use: Patient Access Request to Their Protected Health Information

• For records sent to someone else: Authorization for Use or Disclosure of/Access to Protected Health Information

You may fax, mail or deliver your completed authorization form to our Health Information Management office:

CHI St. Vincent Infirmary
Attn: Health Information Management (1st Floor)
2 St. Vincent Circle
Little Rock, AR 72205
Phone: (501) 552-3559 | Fax: (501) 552-8658
Hours: Monday–Friday, 8 a.m. to 4:30 p.m.
Processing Time: Requests will be processed within 30 days.

• Requesting records for a family member or friend: Written consent is required. If you’re unable to provide a written consent, call (501) 552-3659 for options.

• Physician requests: Fax a written request to (501) 552-8658.

There is no charge for records sent directly to a provider or facility for continuing care. Patients can request copies at the rates below, with the first two pages free. Additional pages are billed as follows:

• Electronically maintained records (delivered electronically): $6.50

• Electronically maintained medical records combined with paper records (delivered electronically): $6.50 (for the electronic portion) + $0.07 per page (for the paper portion)

• Electronically maintained records (delivered on paper): $0.90 (labor) + $0.05 per page (paper/toner)

• Paper records (delivered electronically): $0.07 per page

• Paper records (delivered on paper): $0.12 per page

Postage and applicable taxes apply.