Medical Records

Athens-Limestone Hospital now offers an Online Patient Record Request tool for the following individuals to request patient records:

Patients requesting their own records
Parents of minor patients requesting records
Caregivers acting on behalf of a patient (i.e. Power of Attorney)

A copy of the Power of Attorney will need to be attached at the end while completing this request using our online tool.
If patient is deceased, please make sure to attach a copy of death certificate.

The Online tool verifies your identity by asking for a photo of your driver's license or valid photo ID (Driver’s License, Military or State/Government ID, Passport, Work Photo Badge, Non-Driver Identification Card or Other photo Identification) which can be taken via webcam or smartphone.

There is no additional charge to use this service. Once Medical Records receives a request, it takes seven to 7-10 business days to process the request.

Please note, Chrome, Safari and Firefox are the recommended browsers for this application. If you encounter any issues with your electronic request, please call our Medical Records Department at (256) 233-9464.

If your records are needed for treatment or for an appointment within the next 48-72 hours, your physician can request records by fax (256) 233-9279 when you arrive in his/her office for treatment. If medical records are needed for continuing care, there is no charge when records are faxed directly to your physician or the facility providing treatment.

Fees for patients request:

Receive by Mail/paper copy: $0.12 per page
Receive by eDelivery/PDF: Flat $6.50
No Charges to veterans or active duty military personnel with Military Identification.

Click Here to Request Records

Additional Information:

To request an itemized statement/statement of charges: Contact Patient Accounting at (256) 233-9124.

To request radiology CD images and/or film: Contact Imaging Services at (256) 216-9696 (Fax (256) 233-9573).

To request for amendment of your personal health information: You have the right to request that health information that pertains to you be amended if you believe that it is incorrect or incomplete. Athens-Limestone Hospital will review your request and either grant your request or explain the reason why it will not be granted. In the event that your request is denied, you have the right to submit a statement of disagreement that will accompany the information in question for all future disclosures. Submit requests to the Medical Records Department at Athens-Limestone Hospital. Athens-Limestone Request for Amendment Form

To request records by mail:

If you are unable to request records through our Online Patient Record Request tool, you may submit a record request by mail to:

Athens-Limestone Hospital
Medical Records Department
700 West Market Street
Athens, AL 35611
Required release of information forms:
- Completed Huntsville Hospital Health System Authorization to Disclose Health Information form
  AUTORIZACIÓN PARA LA DIVULGACIÓN DE INFORMACIÓN DE SALUD (Spanish form)
  
  Section #2 - Check the specific documents you are requesting and format method (electronic delivery, CD or paper) you wish to receive the records.
  
  Section #4 – Provide the name, address, city/state and zip code for you, other individual, name of attorney or company to receive the records.
  
  Please sign and date the authorization form.
  
  It is important that you put your full address (city, state, and zip code), full name, and date of birth in the top portion of the Authorization to Disclose Health Information form. Also include the specific date of service or the date range for the records you are requesting.