How to Request Medical Records from Amberwell
Requesting medical records for your personal use, continuation of care, or as an authorized representative.
Please choose one of the four convenient options below to request medical records.
Option 1
Access Your Records Online
- Visit the Amberwell Patient Portal.
- Log in to download your full medical record or individual visit records.
Option 2
Request by Email
- Email our Health Information Management (HIM) department at healthinformation@amberwellhealth.org.
- Include:
- Your name
- Date of birth
- Type of records you are requesting
Option 3
Submit Your Request Online
- Complete our Medical Records Release Authorization Form.
- Your request will be processed, and records will be delivered as specified in your request.
Option 4
Request In Person or By Mail
To request records in person or by mail:
- Download and print the Medical Records Request Form and Instructions.
- Follow the instructions below to submit your request.
To request medical records in person or by mail from an Amberwell Atchison location:
Amberwell Atchison locations include the following:
To request medical records in person or by mail from an Amberwell Hiawatha location:
Amberwell Hiawatha locations include the following:
Requests for medical records made in person or by mail require that a medical records release form be printed and submitted. Please use the link below to print and fill out the form.
Click below to download and print medical release forms.
Amberwell Atchison
800 Raven Hill Drive
Atchison, KS 66002
Amberwell Hiawatha
300 Utah Street
Hiawatha, KS 66434
If you need assistance:
- Please call 913-367-2131 for Atchison requests, and ask for medical records.
- Please call 785-742-2131 for Hiawatha requests and ask for medical records.
Requesting Records for Deceased Patients
If you are the executor or administrator of an estate:
- Complete the Medical Records Release Authorization Form.
- Provide a copy of the death certificate to the HIM department.
For Non-Amberwell Facilities
Healthcare providers requesting records for a mutual patient:
- Fax your request on official letterhead to 913-674-2011.
- Include the patient’s name, date of birth, and the specific records needed.