Request a Medical Record

Spooner Health is committed to protecting your privacy and confidentiality. Therefore, we require patient or legal guardian authorization to release copies of your medical records. The Health Information Department maintains all patient healthcare records and reviews all requests for copies before processing.

The original medical records are kept at Spooner Health. You may request copies of your records at any time. Requested records are sent by mail and are not available by fax.

In order to obtain copies of your medical records, please fill out an Authorization for Use and Disclosure of Protected Health Information form. You may also request one by calling the Health Information Department at 715-939-1737. If you access the link, you will need to: 

  • Print the Authorization for Use and Disclosure of Protected Health Information form
  • Fill out the form completely.
  • Sign the form.
  • Must show a valid government-issued photo ID at either the time of your request or when picking up the record. All mailed requests must include a photocopy of the photo ID. 
  • Mail the signed form AND copy of identification to:

Spooner Health
Attn: Health Information
1280 Chandler Drive 
Spooner, WI  54801

Upon receipt, our staff will review the request and send a copy of the medical record by mail. Please allow 30 days after a request is received.

 

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