Request Medical Records
- About
- Aortic Dissection at Any Age: The Tyler Kahle Story
- COVID-19 Information
- Clinical Trials
- Labor and Delivery Preadmission Form
-
Locations
- Blood Sugar Form
- Dunklau Gardens
- Get Care Today
- Methodist Fremont Health
- Methodist Hospital
- Methodist Jennie Edmundson Hospital
- Neurology New Patient Health History
- Methodist Women's Hospital
- Lozier Mobile Mammo Registration
- Methodist Health Partners
- Methodist Mobile 3D Mammography
-
Patient Resources
- Admission Forms
- Billing and Insurance
- Classes and Events
- Lab and Test Results
- Methodist My Care
- Patient Education
- Patient and Visitor Services
- Pregnancy to Parenthood App
- Prescription Refills
- Recognize Staff
- Request Medical Records
- Provider and Employee Resources
- Search
-
Specialties
- Bariatric Surgery
-
Behavioral Health
- Inpatient Services
-
Outpatient Services
-
Community Counseling Program
-
Counselors
- Ellen McElderry, LIMHP, LADC
- Roxanne Wayne, LIMHP
- Ryan Brown, PLMHP
- Robert Campbell, PLMHP
- Darren Flores, PLMHP, PCMSW
- Adrian Lynn-Genevieve, MS, PLMHP
- April Haldeman, LIMHP
- Candice Harrington, LIMHP, LADC
- Jacob Hedlund, PLMHP, PCMSW
- Tori Hudson, PLMHP
- Tabitha Jameson, LIMHP
- Kaela Johnson, MS, PLMHP
- Debra Kissel, LICSW, LIMHP, LADC
- Alex Keogh, PLMHP
- Sabrina Knerr, PLICSW
- Tylinn Lewis, LIMHP, LIMFT
- Mikayla Linakis, PLIMHP
- DaeJanira LynCook, MS, LMHP
- Natalie Nelson, PLMHP, PCMSW
- Alex Nguyen, MS, PLMHP
- Katie Pafford, LIMHP
- Virginia Porter, CMSW, LMHP
- Brock Thornburg, LIMHP, CMSW
- Jerry Vobejda, LIMHP
- Sarah Wiegman LIMHP, LADC
-
Counselors
-
Community Counseling Program
- Birth Services
-
Cancer Care
- Breast Cancer
- Cancer Nutrition Services
- Cancer Rehabilitation
- Cancer Support Services
- Cancer Treatment
- Clinical Trials
- Gynecologic Oncology
- Head and Neck Oncology
- Hereditary Cancer Risk Program
- Lung and Thoracic Oncology
- Oncology Social Workers
- Psycho-Oncology
- Radiation Oncology
- Skin Cancer
- Surgical Oncology
- Clinical Trials
- Diabetes and Endocrinology
- Geriatrics and Senior Services
- Heart and Vascular
- Hospitalists
- Imaging
- Pathology
- Physical Therapy
- Primary Care
- Pulmonary Diagnostic Testing
- Sexual Assault and Domestic Violence
- Surgery
- Urology
- Women's Health
-
Harper's Hope
- Email Signup
-
Faces of Hope
- Brandy Sonier
- Brian Niedzwiecki
- Cheryl Stevens
- Crystal Slaughter
- Ernie Brenneis
- Greg Hansen
- Jessica Hunter Guerrero
- Jim Deupree
- Jon McAlpin
- Julia Laursen
- Leah Reineke
- Leslie Peterson
- Lorie Olson
- Marcy Jameson-Plautz
- Margie Johnson
- Margie Ostgaard
- Mary Robinson
- Matthew Twit
- Pat Hastings
- Ron Sindelar
- Sandy Krupka
- Steve Malcolm
- Steve Wiemeyer
- Support Services
Request Medical Records
Methodist Health System hospitals and clinics are required under state and federal laws to obtain a complete and properly executed release of medical information form before they may provide a copy of a patient’s records to anyone. In the event the patient is unable to execute the authorization, the patient’s legal representative may authorize the release of information.
In addition to utilizing the Methodist My Care portal or our online request tool, you can obtain medical records by downloading and completing the medical records request form(s) below:
Release of Information (English) - PDF | Release of Information (Spanish) - PDF |
When completing the authorization form:
- Indicate the dates of treatment for which you are requesting.
- Indicate the type of records needed by checking the appropriate boxes.
- When checking Entire Medical Record, sensitive information, such as mental health records and/or substance use disorder records, will not be released without checking these additional boxes.
If the patient is a minor – 17 years or younger in Iowa or 18 or younger in Nebraska – the authorization must be signed by a parent or their legally qualified representative. Proof of legal representation will be required.
Send completed form by fax or mail.
Fax: (402) 354-1350
Mailing Address:
Nebraska Methodist Health System
Health Information Management – ROI Department
8303 Dodge Street
Omaha, NE 68114
If you have additional questions, please call Methodist Health Information Management at (402) 354-4660.
For Providers Requesting Patient Records
Providers may obtain copies of their patients' medical records and have them sent via fax or secure email to their location for continuation of care. Most requests are reviewed within 72 hours. If a request involves more than one year's worth of information or numerous encounters, it may take longer to process.
Additional Information
-
We provide records to our patients or other medical facilities at no charge.
To request the ability to securely connect your health record to the health management apps you may regularly use (i.e. fitness trackers, dietary apps, etc.), please complete the form on our Connect Your Health Management Apps page.
The Business Office at Nebraska Methodist Health System maintains billing statement information — your medical records do not contain your billing statements. For more information, please visit our billing and insurance page or call us directly at (402) 354-4230.
To schedule an appointment to inspect your medical records contact the Release of Information Department at (402) 354-4660. A photo ID will be required.
Please allow 30 days for your request to be processed.