NEW* ATTORNEYS For Request of PMC Medical Records online

Click HERE to access the request form.

The Medical Records Department is now open at its new location:

Medical Records
126 Healthcare Drive
1^st Floor
Pikeville, KY  41501
This location is across from Speedway.

Required Documents

• Complete the AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION form (click here to download/open a PDF of the form)
• Include a copy of a government issued photo ID.
• If you are the patient’s representative requesting records on behalf of the patient or if the patient is deceased, documentation authorizing the release of the records to you is required.

Acceptable documents includes a court order, power of attorney, or executor of estate.

• If you elect to have your medical records released to any other person/entity, please provide that information in Section 6 of the Authorization

Mail the completed form, copy of ID, and supporting documents to:

Pikeville Medical Center
Attn: Medical Records Department
126 Healthcare Drive
1^st Floor
Pikeville, KY  41501

            Or

By FAX: (606) 218-4855

            Or

By Email: ROI@pikevillehospital.org

Continuing Care Requests

To have records sent to a physician, please provide the physician’s office information, including the

Physician’s name and fax number in Section 6 of the Authorization. There is no charge to send records to your physician.

If you have questions, please contact us at (606) 430-3800.

Click HERE to sign up with MyChart without an Activation Code.

Click HERE if you have a Code from an enrollment letter or After Visit Summary®.