Records Request

Records requested for any reason other than continuation of care are subject to fees for cost of providing records.

Fee Schedule:

FIRST 15 MINUTES ADTL 15 MINUTES PAGES ENVELOPE FIBER ENVELOPE RADIOLOGY DISK DISK MAILER

$5.50 $2.75 each $0.01 $0.04 $0.52 $0.85 $0.31

Please allow a minimum of 48 hours for all requests to be processed.
No records will be sent without written documentation of some form.
Click on the link below for the Release Form. Once completed, please email, fax, or mail your request.

Personal Records Release

Health Information Release Form Facility to Facility

Email: katies@scotthospital.net
Fax: (620) 872-7193
Phone: (620) 872-7778
Address: 201 Albert Ave.
Scott City, KS 67871