When a patient needs a copy of his or her medical record, the CMH Health Information Management Department is available to help. The department is open Monday through Friday from 8:00 am to 4:30 pm.  Health Information Management (Medical Records) is located in the hospital.

Many patients find that they can access the health information they need through our Patient Portal or Microsoft HealthVault. You can sign up for the CMH Patient Portal or Microsoft HealthVault online. 

Authorization for Release of Medical Information

In order for CMH to release medical records the patient (or patients authorized agent) must complete the authorization form.

Authorization for Release of Information Form (PDF)

Completed forms may be faxed to 417.328.6597 or returned in person or by mail to:

Citizens Memorial Hospital
Health Information Management
1500 North Oakland
Bolivar, Missouri 65613

Charges may apply. CMH follows Missouri Statute 191.227 fee schedule (fee schedule is subject to annual changes) For questions or more information about obtaining medical records, please call 417.328.6304. 

Missouri Quality AwardStage 7 Award RecipientSBJ Dynamic Dozen Award Recipient SBJ Economic Impact Award Recipient Most Wired Award RecipientHospital 417-326-6000
Infocenter 417-328-6010 or 1-888-328-6010
infocenter@citizensmemorial.com
1500 N. Oakland, Bolivar, Missouri 65613