Request your medical records.

You have the right to request your medical records from Hancock Health. As of April 14, 2003, all healthcare providers are required by the Health Insurance Portability and Accountability Act (HIPAA) to allow you access to your medical records. Under this law, you also have the right to see, get a copy of, and make a request for a correction to your medical record. Healthcare providers are also allowed to charge a reasonable fee for copy record.

You can mail or fax us your completed authorization for release of medical records. We can mail back your requested records, but can fax them only to other healthcare facilities. If you have further questions, please don’t hesitate to contact us.

Below, download forms to request records from Hancock Regional Hospital or Hancock Physician Network.

Request Records from Hancock Regional Hospital

Click here for a printable form authorizing the release of your general medical records and/or films from Hancock Regional Hospital.

To request records by mail, send your form to:

Hancock Regional Hospital
Attn: Health Information Services
801 N. State St.
Greenfield, IN 46140

If you would like to make your request by fax, send your form to (317) 468-4309.

Request Records from Hancock Physician Network

Click here for a printable form authorizing the release of your general medical records and/or films from Hancock Physician Network.

To request records by mail, send your form to:

Hancock Physician Network, LLC
Corporate Office
156 W. Muskegon Drive
Greenfield, IN 46140

Patient Information Rights and Responsibilities Privacy Notice (HIPAA)