Health Information Management

Information: (251) 471-7350

 

To Obtain Medical Record Information:

Patients and Other Requestors

1. Click here to download an authorization form:

Patient Authorization for Use and/or Disclosure of Protected Health Information

2. Complete the form and mail or fax along with a copy of your photo ID:

Medical Record Department
University of South Alabama Medical Center
2451 Fillingim Street
Mobile, AL 36617
Fax: (251) 471-7362

3. Charges for Medical Record Copies:

Pages 1-25 - $1.00 each

Pages 26 or more - $0.50 each

Postage and handling fees also may apply.

For questions about charges for records, call Healthport at (251) 445-8245.

There is no charge for record requests made from a physician's office or medical facility.

Physicians and Healthcare Workers

Call: (251) 471-7350

Fax: (251) 470-1685 or (251) 471-7362

 

To Obtain Death Certificate Information:

Call: (251) 470-1642

 

Additional Forms:

Click here for Durable Power of Attorney form for Alabama

 

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