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Request a Medical Record

Phone: 417.347.6685
Fax: 417.347.6842

Request a Medical Record

It's easy to request a medical record from a patient visit at any of our hospitals, Freeman Urgent Care, Freeman Heart & Vascular Institute, or any other Freeman facility. Just follow these two steps:

  1. Do one of two things:
  2. Complete the following online request form below based on where you received care:

    Freeman Health System - All Locations
    Freeman Health Clinic Group
    Freeman Hospitals
    Freeman Surgical Center - Pittsburg

  3. Print and complete the Authorization for Release of Information form and fax, mail or email the completed form to us.
      Fax 417.347.6842
      Mailing address
      Freeman Health System
      Attn: Medical Records
      1102 West 32nd Street
      Joplin, Missouri 64804  

     Email
     roi@freemanhealth.com

If you have questions about a medical record, contact the Release of Information Department at roi@freemanhealth.com or 417.347.6685.

HIPAA Revocation Form

Click here to access the HIPAA revocation form.

Ozark Center Medical Record Request

It's easy to request a record from Ozark Center. Just follow these two steps:

  1. Print and complete our Release of Patient Information form
  2. Email the form to ocreleaseinfo@freemanhealth.com or fax the completed form to 417.347.9129

Please feel free to call 417.347.7476 or email ocreleaseinfo@freemanhealth.com with any questions.

billing request

To request billing records please contact Patient Accounts at 417.347.6660. Requests for itemizations can be requested 24/7 on our message line. Claims request(s) do require a release of information form to be completed prior to release. If you would like a claim, please complete the  Authorization for Release of Information form and return as directed. 

Fax or mail the completed form to us at  417.347.5818