Health Information Management
Health Information Management, also known as “Medical Records,” is a vital part of your patient experience. Once you leave our facility it is our honor to continue to serve you by providing your information timely and as requested. For your privacy and protection against medical identity theft we ask when requesting medical records:
(Please note this is a new address as of October 2016)
You can also bring the form in to our office (61 South Gould Street). If we have the pleasure of seeing you in our office we will ask for your driver’s license or other form of ID to verify your identity. If you are a parent asking for information regarding a minor child, a photo ID of the child is not required- just a photo ID of the parent or legal guardian.
Patient Release of Information
- Please complete the Authorization to Release Medical Information Form. Give as much detail as possible. Please provide a phone number where it is most convenient to reach you if we need additional information. If faxing or mailing the authorization please provide two forms of ID. A photo ID is required (driver’s license) and at least one other form of ID such as a copy of your social security card or birth certificate.
- You may fax the information with a cover sheet to the number provided on the form 307-675-6762 or mail it to: Sheridan Memorial Hospital Health Information Management 61 South Gould Street Sheridan, WY 82801