Requesting Medical Records

To submit a medical record request online, choose one of the following:

PLEASE NOTE: In order to submit a health information request online, you will need to upload your photo and a government-issued photo ID. If you are unable to do this, please telephone 208-359-6538 to make your request.

Turnaround Times

Patient requests are generally processed within three (3) business days of receipt of this request. Third-party attorney requests will be processed within thirty (30) calendar days of receipt of this request.

Accessing Medical Records

Records of the care patients receive at Madison Memorial Hospital are kept in strict confidence and are not released without the patient’s written consent, except as required by law. Under federal and Idaho State law, patients have a right to access their medical records. The patient also has a right to receive a copy of their medical record in an electronic form and may also direct the Hospital to provide such a copy directly to their personal representative/designee.

Copies of Records for Your Doctor

If you need the Hospital to release your medical information to your doctor, please phone the HIM Department at 208-359-6538 and we will be happy to arrange this over the telephone with you or please have your doctor fax us a written request to 208-359-6413.


Patients who wish to request their medical records offline need to complete the “Authorization to Disclose Protected Health Information” in English or Spanish and mail it to: HIM Department, 450 E. Main Street, Rexburg, Idaho 83340

Restrictions to Relatives’ Access

Federal law prohibits parental access to medical records without written permission from the patient once the patient turns 18 years of age. Husbands/Wives are NOT allowed to view or access medical information for each other without written permission from the patient.

Birth Certificates

Madison Memorial Hospital cannot provide a birth certificate for you. You must order all birth certificates for a nominal fee from Vital Statistics at (208) 334-5988. The HIM department files the birth certificate information with Vital Statistics in Boise based on the information provided by the parents on the “Certificate of Birth Information” worksheet. HIM has 15 days from the date of birth to report this information to Vital Statistics. The department makes every effort to contact the parents if the worksheet has been filled out incorrectly or is missing information before sending it to Vital Statistics; however, after all efforts have been made, the data will be sent to Vital Statistics as filled out.

Vital Statistics will send parents a form to verify their identity, at which time parents may request a birth certificate. Please make sure you read and verify this information carefully.