Medical Records Requests

Below are the steps necessary to obtain a copy of medical records or to have medical records sent to another treatment provider, attorney, probation officer, etc.

1. Download the Authorization for Release of Protected Health Information
2. Complete the authorization form – Form must be signed by the patient or legal guardian. If patient is a minor, please contact HIM prior to submitting authorization form.
3. Mail, hand deliver, email or fax the completed authorization form to:

Mail/Hand Deliver:

Valle Vista Health System
Attn: Health Information Management
898 East Main Street
Greenwood, IN 46143

Email: [email protected]

Fax: 317-882-1631

Please allow 10-14 business days to process your request.

If you have any further questions, you may contact our Health Information Department at 317-883-5298.