Request Medical Records

Methodist Health System hospitals and clinics are required under state and federal laws to obtain a complete and properly executed release of medical information form before they may provide a copy of a patient’s records to anyone. In the event the patient is unable to execute the authorization, the patient’s legal representative may authorize the release of information.

In addition to utilizing the Methodist My Care portal or our online request tool, you can obtain medical records by downloading and completing the medical records request form(s) below:

When completing the authorization form:

• Indicate the dates of treatment for which you are requesting.
• Indicate the type of records needed by checking the appropriate boxes.
• When checking Entire Medical Record, sensitive information, such as mental health records and/or substance use disorder records, will not be released without checking these additional boxes.

If the patient is a minor – 17 years or younger in Iowa or 18 or younger in Nebraska – the authorization must be signed by a parent or their legally qualified representative. Proof of legal representation will be required.

Send completed form by fax or mail.

Fax: (402) 354-1350

Mailing Address:
Nebraska Methodist Health System
Health Information Management – ROI Department
8303 Dodge Street
Omaha, NE 68114

If you have additional questions, please call Methodist Health Information Management at (402) 354-4660.