Medical Records and Medical Releases


In an effort to protect the health and well-being of our patients and staff, the Medical Records department is currently closed to the public.

Medical Releases are available on our website at

From the website, you can print the form, fill it out completely, and send it back to us. You may fax (615-441-4501 or 615-441-4590), email (,, or, or mail (Attention: Medical Records 127 Crestview Park Dr. Suite LL100 Dickson, TN 37055) it back to us.  If you email the completed release, we strongly suggest that you send it securely.  Any information emailed back to you will be sent encrypted to protect your PHI.

You can also request medical records thru our Patient Portal.  If you aren’t currently enrolled, visit Once enrolled, simply compose a message and send it to HIM Manager for a Request for Release of Information.

As a last resort, if you need to fill out a Medical Release in person, please visit the front desk located in the main lobby of our Crestview location.  They will have Medical Releases for you to complete and can collect them when you have completed it.

We do encourage you to either have the records mailed, faxed, or emailed to you rather than pick them up in person at our offices.

If you have any questions about the Medical Release, please call 615-446-1386 or 615-446-1316.

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