Health Information Management (Medical Records)

Norton County Hospital's Health Information Management (HIM) department is responsible for processing, indexing and filing all medical records.

Our services specifically include:

Requesting Medical Records

If you are a current patient in the hospital, you may ask your nurse to provide you with a request form authorizing the release of your medical information. If you are not currently a patient, you may print and complete the appropriate form below releasing your medical record to either yourself or to a third party such as an attorney, caregiver or life insurance company.

Authorization form to release medical information to another facility

Authorization form to release medical information to the patient

Please note: The form must be signed by a person of authorization of the released information, such as the individual patient, parent or guardian, or personal representative.

Please mail or fax the form to:

Norton County Hospital
P.O. Box 250
Norton, KS 67654
Fax: 785-874-4311

Fees

A fee may be charged for cost of copying records. Read more specifics below.

Continuing Care: No charge if the records are sent directly to another care provider. Please enter the case provider’s name and address on the authorization form.

Personal Use: See fee schedule listed below.

Paper Fee for copies of records:

Hours and Contact Information

Monday - Friday 7 a.m. to 5 p.m.

If coming to the hospital in person to access your medical records, please enter through the hospital’s east main entrance (look for the long covered walkway). Once inside, turn left to access the main lobby, and tell the front desk representative that you would like to obtain your medical records. Feel free to park in the hospital's main lot adjacent to Hwy 36.

For more information, contact:
Whitney Criqui
Director, Health Information Management
Phone: 785-877-3351
Fax: 785-874-4311
Email: wcriqui@ntcohosp.com