Request Your Medical Records
Our Health Information Management Department is here to help you when it comes to accessing your medical records. The department is open Monday through Friday from 8 a.m. to 4:30 p.m.
Request for Release of Protected Health Information
Please click the button below to download the Authorization for Release of Health Information form to have a copy of your medical records sent to you.
Attestation for Reproductive Health Care
If you are someone other than the patient and are requesting records for a reason other than treatment, payment or operation, you must complete the Attestation for Reproductive Health Care form and submit it with your request for records.
Completed Forms may be returned in person, by mail, or fax to:
Franciscan Healthcare
Health Information Management
430 N Monitor St.
West Point, Neb. 68788
Fax: 402.372.6768
For questions or more information about obtaining medical records: 402.372.6724
