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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 .

Boyd Healthcare Services

800 School Street
Carrollton, IL 62016

(217) 942-6946

Boyd Memorial Hospital

Carrollton Rural Health Clinic

Rural Health Center of Roodhouse

Boyd Fillager Clinic - Greenfield

Greene County Rural Health Clinic

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