Medical Records

Huntsville Hospital now offers an Online Patient Record Request tool for the following individuals to request patient records:

  • Patients requesting their own records
  • Parents of minor patients requesting records
  • Caregivers acting on behalf of a patient (i.e. Power of Attorney)
    • A copy of the Power of Attorney will need to be attached while completing this request using our online tool.
    • If the patient is deceased, please make sure to attach a copy of the death certificate.

The online tool verifies your identity by asking for a smartphone or webcam photo of your driver's license or other valid photo ID (such as military or state/government ID, passport, work photo badge or non-driver identification card).

There is no additional charge to use this service. Once Medical Records receives a request, it typically takes 7-10 business days to process the request.

Please note, Chrome, Safari and Firefox are the recommended browsers for this application. If you encounter any issues with your request, please call our Medical Records Department at (256) 265-8149.

If your records are needed for treatment or for an appointment within the next 48-72 hours, your physician can request records by fax (256) 265-8131 when you arrive in his/her office for treatment.

If medical records are needed for continuing care, there is no charge when records are faxed directly to your physician or the facility providing treatment.

Fees for patient requests:

  • Receive by mail/paper copy: $0.12 per page
  • Receive by eDelivery/PDF: $6.50 flat rate
  • No charge to veterans or active duty military personnel with military identification.

To request records by mail

If you are unable to request records through our Online Patient Record Request tool, you may submit a record request by mail to:

Huntsville Hospital
Medical Records Department
101 Sivley Road
Huntsville, AL 35801

Required release of information forms

  • Completed Huntsville Hospital Authorization to Disclose Health Information form 
    AUTORIZACIÓN PARA LA DIVULGACIÓN DE INFORMACIÓN DE SALUD (Spanish form)
    • Section #2 - Check the specific documents you are requesting and format method (electronic delivery, CD or paper) you wish to receive the records.
    • Section #4 – Provide the name, address, city/state and zip code for you, other individual, name of attorney or company to receive the records.
    • Please sign and date the authorization form.
    • It is important that you put your full address (city, state, and zip code), full name, and date of birth in the top portion of the Authorization to Disclose Health Information form. Also include the specific date of service or the date range for the records you are requesting.
  • Completed Ciox Electronic Record Delivery Request form (Only for patients requesting an electronic copy. Please provide a legible email address.)
  • Provide a copy of the patient’s valid photo ID (driver’s license, military ID, state/government ID, passport, work or school photo badge, non-driver identification or other photo identification).

To request a record on behalf of someone else

If you are requesting records on behalf of someone who is deceased, incapacitated, or a minor (under the age of 14), you will need to complete the forms below and provide one of the following documents:

  • Caregivers acting on behalf of a patient (i.e. Power of Attorney) will need to submit a copy of the Power of Attorney.
  • If the patient is deceased, please submit a copy of the death certificate.
  • Completed Huntsville Hospital Authorization to Disclose Health Information form
    • Section #2 - Check the specific documents you are requesting and format method (electronic delivery, CD or paper) you wish to receive the records.
    • Section #4 – Provide the name, address, city/state and zip code for you, other individual, name of attorney or company to receive the records.
    • Please sign and date the authorization form.
    • It is important that you put your full address (city, state, and zip code), full name, and date of birth in the top portion of the Authorization to Disclose Health Information form. Also include the specific date of service or the date range for the records you are requesting.
  • Completed Ciox Electronic Record Delivery Request form (Only for patients requesting an electronic copy. Please provide a legible email address.)
  • Provide a copy of the patient’s valid photo ID (driver’s license, military ID, state/government ID, passport, work or school photo badge, non-driver identification or other photo identification).

To view records online through the Huntsville Hospital Health System Patient Portal

A summary of your inpatient stay can be found on our Patient Portal. If you do not currently have a log in, you will need your discharge paperwork to sign in. Records not included in the portal will need to be requested from our Medical Records department.

Patient portal support can be reached at (256) 265-4443 or at This email address is being protected from spambots. You need JavaScript enabled to view it..

To request for amendment of your personal health information

You have the right to request that health information that pertains to you be amended if you believe that it is incorrect or incomplete. Huntsville Hospital will review your request and either grant your request or explain the reason why it will not be granted. In the event that your request is denied, you have the right to submit a statement of disagreement that will accompany the information in question for all future disclosures. Submit requests to the Medical Records Department at Huntsville Hospital.

To request restrictions on your personal health information

This form should be completed when the patient has indicated that he or she would like to have restrictions placed on the use or disclosure of his or her individual health information.

To request Employee Health records from Huntsville Hospital

By email: This email address is being protected from spambots. You need JavaScript enabled to view it.

By fax: (256) 265-8046

To request an itemized statement/statement of charges

Contact Patient Accounting at (256) 801-6280.

To request radiology CD images and/or film

Contact Imaging Services at (256) 265-8934.