Request Medical Records

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Patients who have received care at AllianceHealth Durant and Madill may request copies of their medical record/health information by contacting the hospital and requesting an “Authorization for Release, Use and Disclosure of Health Records” form.

For AllianceHealth Durant, please contact the Health Information Management department at (580) 931-2045 to ask for the medical record request form.

For AllianceHealth Madill, please contact the hospital at (580) 795-0225 to ask for the medical record request form, or download the form in English or download the form in Spanish.