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Release of Information

How do I get copies of my medical record at CPH?

To start your request, open the Authorization to Release Information
and print it. Fax or mail the completed, signed and dated request to us, to the attention of the Health Information Management Department.  

Please be sure to complete and sign the form.  Unsigned requests cannot be processed.

The HIM Department Fax number is: (844) 412-3942

The mailing address is:

Health Information Management Department
Central Peninsula Hospital
250 Hospital Place
Soldotna, AK  99669

Your request will be processed and fulfilled within 15 business days from the day it is received.  We will either mail it to the address specified on the authorization form, or you may pick it up by making arrangements with the release of information staff.  

Records can be picked up from the HIM Department Monday through Friday, between 8:00am and 5:00pm.  Unless other arrangements have been made with the HIM staff, the person signing the authorization to release information must pick-up the records and must present photo identification before records will be delivered.