Medical Records
Requesting Medical Records

Medical records include a patient’s medical history, lab, treatment reports and any other medical services provided by the hospital. Patients at Deckerville Community Hospital can obtain copies of their medical records by submitting a Medical Information Release Authorization form (PDF) to Deckerville Community Hospital Health Information Department.

You may receive your medical records by mail or your secure Microsoft® HealthVault™ account. If you request electronic records, you will receive a link via email with access to a secure delivery server.

To request your patient medical record:

  1. Download and complete a Medical Information Release Authorization form (PDF)
  2. Print and sign the completed form.
  3. Return the form to Deckerville Community Hospital - HIM Department.

Fax or email the form to us for the quickest and easiest way to obtain copies of your records. However, you may also request a copy of your records by sending a completed and signed printout of the medical information release authorization form to:

Deckerville Community Hospital
Health Information Department
3559 Pine St.
Deckerville, MI 48427
Fax: (810)376-9713
Email: pabstb@deckervillehosp.org

If the patient is a minor or unable to give consent, the signature of a parent, guardian or other legal representative is required.

Additional authorization may also be required for the release of specifically protected or privileged information. Certain information can take up to 30 days for processing. Contact the Health Information Department at 810-376-2835 ext. 215 with questions about specific requests.

Deckerville Community Hospital does not provide birth or death certificates. To request medical records of a deceased patient, the request must be accompanied by authorization from the executor of the estate.

Please note that your first printed copy of your records is free of charge, however, any additional copies will be charged in accordance to the State of Michigan Medical Records Access Fee.

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