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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  


If you have questions about a medical record, contact the Release of Information Department at 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 or fax the completed form to 417.347.9129

Please feel free to call 417.347.7476 or email 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