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For questions, call (606) 218-3505 or email ROI@pikevillehospital.org

 

Due to our facility’s visitation restrictions and to ensure the safety and well-being of our patients, their families, and staff during the coronavirus (COVID-19) state of emergency, the Medical Records office is temporarily closed. If you need medical records, please follow these steps:

 

Required Documents

 

  • Complete the AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION form (click here to download/open a PDF of the form)
    thumbnail of Medical Record Request Form #413
  • 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, death certificate, executor of estate, or next of kin affidavit.

  • 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

911 Bypass Road

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) 218-3505.

Request an appointment with ePMC Patient Portal. Access medical information and communicate with your physician’s office securely from your desktop, smartphone or tablet!

  • Send and receive messages to and from your physician
  • Request appointments
  • Receive appointment reminders
  • and much more!

To visit Patient Portal, visit https://www.NextMD.com or download the app below! A token to access Patient Portal can be obtained from your PMC physician’s office.

Get it on Google Play