Looking to Obtain a Copy of Your Medical Records?
Paper Copy of Medical Records:
Federal HIPAA laws require an authorization to be completed for all medical record requests, unless your provider is requesting them for your care. Your medical record, and the information it contains, is confidential. Therefore, we must confirm your identity before releasing your medical record. Only the patient or his/her legal guardian can sign the form. You can download the authorization form below:
Release of Information Form:
While it is not required that you use this form, it is our policy that medical record requests be submitted in writing. If you are unable to print the form from the website and would like a copy, you may pick up a paper copy in person at the Information desk in the main lobby of the hospital or at any point of registration.
You may drop off the documents listed below to the Information Desk in the main lobby at Eastern Idaho Regional Medical Center. We are available to accept medical records requests between the hours of 8:00am ” 5:00pm, Monday through Friday.
- Authorization for Use and Disclosure of PHI Form Completed and signed
- A current government issued photo ID (passport, driver’s license, State ID, or military ID)
You will receive your records by the method selected on your request 5-7 business days after our receipt of your request.
If your request is for records more than a year old or for multiple or extensive stays, it may take up to 30 days to reproduce the records. Be sure to include a current phone number with area code in your written request so we may contact you if we have questions regarding your request.
EIRMC Release of Information - Healthport
525 Metroplex Dr
Nashville, TN 37211
Records for your Physician
Our goal is to get your health information to the appropriate health care provider as quickly as possible; therefore we recommend that your physician (or other healthcare provider) request a copy of your medical records to be delivered directly to his/her office by fax. There is no charge to you for this service.
How Do I Order a Birth Certificate?
EIRMC does not maintain birth certificates; you must request them from the Idaho Bureau of Vital Records and Health Statistics. Learn more about this process here.
If you have additional questions, you may call our Release of Information specialists at (208) 227-2801 or toll free at (866) 270-2311.You can also fax your request to the toll-free fax number at 877-865-9738.
Read more about our responsibilities and your rights for privacy.