Instructions for requesting medical records from CHI St. Vincent hospitals in Arkansas.

Select from the options below.

To request medical records from CHI St. Vincent Hot Springs, please download and complete this authorization form. Completed forms should be faxed, mailed or delivered to:

CHI St. Vincent Hot Springs
Attn: Health Information Management
(1st Floor of Hospital)
300 Werner Street
Hot Springs, AR 71913

Phone: 501.622.1814
Fax: 501.622.1687
Hours: Monday-Friday, 8am-4:30 pm

Cost
The first 10 pages are free, then $0.25 cents for each page after that. If the file is very large, which it would be if you’ve been in the hospital more than once, you may call for an estimate of the cost.

Time to receive medical records
Requests for medical records will be responded to within 30 days of receipt of request.

Requesting Medical Records for a Family Member or Friend
The patient will need to give written consent. If they are unable to give written consent, please call our Health Information Management Department at 501.622.1814 to discuss options.

Physician Requests for Medical Records
Your physician's office can FAX a written request to 501.622.1687.

To request medical records from CHI St. Vincent Infirmary, Morrilton or North, please download and complete this authorization form. Completed forms should be faxed, mailed or delivered to:

CHI St. Vincent Infirmary
Health Information Management
2 St. Vincent Circle
Little Rock, AR 72205

Phone: 501.552.3659
Fax: 501.552.8658
Hours: Monday-Friday, 8am-4:30 pm

Cost
  • Electronic records delivered in electronic format: $6.50.
  • Electronic medical record with paper records delivered in Electronic format at billed at $6.50 + $.07 per page labor cost to create and deliver the portion of the record maintained in paper.
  • Electronic records delivered in paper $.90 labor cost to create and deliver the portion of the record maintained electronically plus $.0.05 per page for paper and toner.
  • Paper records delivered in electronic format $0.07 per page labor fee.
  • Paper records delivered in paper $0.12 per page.

Time to receive medical records
Requests for medical records will be responded to within 30 days of receipt of request.

Requesting Medical Records for a Family Member or Friend
The patient will need to give written consent. If they are unable to give written consent, please call our Health Information Management Department at 501.552.3659 to discuss options.

Physician Requests for Medical Records
Your physician's office can FAX a written request to 501.552.8658.