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Medical Record Release Request
If you need to request a copy of your medical records or authorize their release to another provider, our Medical Records Release Form makes the process simple. Just download, complete, and return the form to our Health Information Department. If you have questions or need help, our team is happy to assist you!
Please bring a copy of your completed form to Boyd Memorial Hospital, 800 School St., Carrollton IL, 62016 or fax it to 217-942-9349 .
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