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
- Once logged into MyChart, click the "Your Menu" icon at the top left.
- Scroll down to the "My Record" section.
- Select "Record Request" to fill out your request.
Mail or Fax
- Download and complete this form: Patient Access Request for Medical Records (PDF).
- 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.