Southern Coos Hospital and Health Center has partnered with MediCopy Services for the release of protected health information (PHI), otherwise known as medical records. After MediCopy receives a completed authorization (and request letter when needed), it will be completed in 2 business days. Please see below for methods to request records:
Steps for Medical Records Requests
Non-Patient Requestors:
Please click here to submit a request and HIPAA-compliant patient authorization to MediCopy.
- Include your contact information, the patient information, where the records are going, and what records are to be sent in the request letter.
Request via email:
- Email a PDF version of the request for records named after the patient (FIRST LAST) and a signed HIPAA-compliant patient authorization to southerncoos@medicopy.net.
- Include your contact information, the patient information, where the records are going, and what records are to be sent in the request letter.
Patients:
A written request is required to obtain a copy of your images and corresponding reports. If the patient is a minor, or unable to sign an authorization, the signature of an authorized legal guardian is required. Once your request is submitted, please allow two business days before calling to check the status.
Request Online:
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Please click here to request online. A valid email address is required and a verification process must be completed to submit the request. The request form will open in your internet browser. If you need to refer back to this page please right-click to open in a separate tab.
Request via email, fax or mail:
- Please click here to download the request form/authorization. Complete the entire form and include a physical signature.
Email the form directly to MediCopy at southerncoos@medicopy.net
Fax: 866-725-1245
Mail: MediCopy Services, Inc. 8 City Blvd., Suite 400 Nashville, TN 37209
Please note that if records are being mailed, it may take a few additional days for them to arrive.