Hospital header with logo and main number

 

Health Information Management (Medical Records)

 

Medical RecordsPatients may request a copy of their medical record at anytime by using an Authorization to Release Medical Information Form, and either mailing or bring the completed form to the HIM Department. For your convenience, you can print out a copy of our Authorization to Release Medical Information Form here: English | Spanish.

 

Important Reminders:

  • Federal law prohibits parental access to medical records without written permission from the patient once that patient turns 18 years of age.
  • Husbands/Wives are NOT allowed to view or access medical information for each other without written permission from the patient.
  • Requests for actual radiology films must be requested through the Radiology Department by calling (208) 359-6508.
  • There is a nominal charge associated with copying records, so please call ahead to find out number of pages and the total charges accoaiated with a request.
  • We cannot always immediately produce a record. If it has been more than 3 years since the visit, then we will have to order it from our off-site storage facility. This may take up to 2 weeks.
  • We do not fax health information to personal faxes or emails. If you need the information urgently you should have your physician request the records and we will fax it directly to the physician's office.

 

Birth Certificates

Please be aware:

  • Madison Memorial Hospital cannot provide a birth certificate for you. You must order all birth certificates for a nominal fee from Vital Statistics at (208) 334-5988.
  • The HIM department files the birth certificate information with Vital Statistics in Boise based on the information filled out by the parents in the Certificate of Birth Information Worksheet.
  • HIM has 15 days from the date of birth to report this information to Vital Statistics.
  • HIM makes every effort to contact the parents if the worksheet has been filled out incorrectly or is missing information before sending this data to Viatl Statistics; however, after all efforts have been made, the data will be sent to Vital Statsics as filled out.
  • Vital statistics will send parents a form for you to verify your identity and you may request a birth certificate at that time.  Please make sure you read and verify this information carefully.

 

 

 

 

Office Hours:
Monday -Friday
8:00 am - 4:30 pm
Closed Weekends & Holidays

 

Location:
The Health Information Management Department is located inside the Madison Memorial Hospital near the Paragon Cafe on the second floor.

 

Contact Info:
Ph: (208) 359-6538
Fx:  (208) 359-6413


Mailing Address:
Madison Memorial Hospital
ATTN: HIM Dept.
450 East Main
Rexburg, ID 83440