Medical records release form

We are happy to provide you with a copy of your medical records for follow-up care, insurance purposes or your own use.

To request a copy of your medical records, please complete the following form:  Authorization of Disclosure of Health Information.

Return the form to: 

Hutchinson Clinic, PA
Medical Records Department
2101 North Waldron
Hutchinson, KS 67502
Phone:  (620) 669-2500
Fax:  (620) 669-2501