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Release of Medical Record Information

At this time, our Health Information Management Release of Information area is closed to patients, guests and visitors. We are still available to assist with your medical record needs in other ways. If you would like to request copies of your records, you may do any of the following:

Indianapolis / Howard / Anderson

  • Make a request online
  • Make a request in MyChart
  • Call our Release of Information line at 317-355-5802
  • Email your request to ROIRequests@eCommunity.com
  • Fax a signed and dated request to 317-351-7728
  • Mail a written request to Community Health Network, Attn: HIM, 1500 North Ritter Avenue, Indianapolis, IN 46219

Third-party medical records requests may be made through our online form. See the "Other Requestors" tab below for more details and link.

Community Health Network patients may request free copies of their medical records via our online form, MyChart, mail or fax. See instructions below for patients, healthcare providers and third parties. *Community Fairbanks Recovery Center and Community Rehab Hospital patients, please note specific instructions below.

  • Birth and death records may be requested through the Indiana Department of Health’s Vital Records office.

Chart corrections may be requested in MyChart or by completing this Request for Amendment form and emailing patientamendments@eCommunity.com.

Need help? If you have questions about the process for requesting medical records, please contact the HIM Release of Information department directly at 317-355-5802.

Patient Requestors - General

There are multiple ways to request a copy of your medical record, including our online medical records request form, in the online MyChart patient portal or by mail.

Online Request Form

Patients may request medical records using an online form outside of MyChart.

Online Records Request

MyChart

Community Health Network patients can request copies of their medical records using the electronic request form within their Community MyChart account.

If you do not yet have a MyChart account, you can easily create one. Visit the MyChart website and go to Create an Account on the right-hand side. Choose if you have an activation code or need an activation code and follow the steps to create an account.

Records will be delivered electronically back to your MyChart account. Our goal for delivery is within 3 business days, but due to volume of requests received, it may take up to 14 business days.

Log Into MyChart

  1. Once logged into MyChart, click the "Your Menu" icon at the top left.
  2. Scroll down to the "My Record" section.
  3. Select "Record Request" to fill out your request.

Mail or Fax

  1. Download and complete this form: Patient Access Request for Medical Records (PDF).
  2. Mail or fax the form to our centralized HIM location:

Community Health Network
Attn: HIM Release of Information
1500 North Ritter Avenue.
Indianapolis, IN 46219
Fax: 317-351-7728

*Please allow 7-14 business days for completion of a medical records request. Please note that it can take up to 30 days as allowed by law.

*Behavioral Health Records: For patients requesting copies of their behavioral health records, all treating providers must review and approve the request prior to the release of any information. This review may take an additional 7-10 days to process.

Community Fairbanks Recovery Center

To request Community Fairbanks Recovery Center patient records, you may request online or by mail or fax.

  1. Request records online
  2. Make a request in MyChart
  3. Download and fill out this form: Substance Use Disorder (SUD) Record Authorization

Return paper forms to:

Mail to: Community Fairbanks Recovery Center, Attn: Medical Records, 8102 Clearvista Pkwy, Indianapolis, IN 46256
Fax: 317-849-7354

For questions, please call 317-849-8222 or (toll-free) 800-225-4673, Option 6.

Community Rehabilitation Hospital Patients

To request patient records from Community Rehab Hospital North or South, download and fill out this form: Patient Request for Release of Information (PDF)

Mail or fax the request form to the appropriate location:

Community Rehabilitation Hospital North
Attn: HIM Department
7343 Clearvista Drive
Indianapolis, IN 46256
Fax: 317-585-5472

Phone: 317-585-5423
Hours: Monday - Friday, 8 a.m. to 4 p.m.
Main hospital phone: 317-585-5400

Community Rehabilitation Hospital South
Attn: HIM Department
607 Greenwood Springs Drive
Greenwood, IN 46143
Fax: 317-215-3801

Phone: 317-215-3810
Hours: Monday - Friday, 8 a.m. to 4:30 p.m.
Main hospital phone: 317-215-3800

Healthcare Providers

Fax your authorization or facility's coversheet/letterhead to 317-351-7728. Please include patient's identifiers, contact information and description of information you are seeking.

Fax hours are Monday - Friday, 8 a.m. to 4:30 p.m.

For release requests after hours/weekends/holidays, please call HIM at 317-355-5752.

Other Requestors (Third-Party)

Other requestors may include attorneys, insurance, third-party services, etc. You may submit the request online, by mail or by fax.

Online Requests - Please submit your request online below.

Online Third-Party Request Form

Download Form: Authorization to Release and Disclose Patient Information (PDF)

1. Mail to:

Community Health Network
Attn: HIM Release of Information
1500 North Ritter Avenue
Indianapolis, IN 46219

2. Fax your request letters with authorization to 317-351-7728.

Please note that it can take up to 30 days as allowed by law.