Medical Records

Request Your Medical Records

At Indiana University Health White Memorial Hospital, medical records are maintained for a period of time specified by state and federal regulations.

A patient or legal guardian of a patient may request copies of his/her medical records Monday – Friday, 8 am – 4 pm. Proper authorization for the release of medical records is required.

The Medical Records department is responsible for ensuring record completeness, accurate coding for billing purposes, transcription of reports reflecting services rendered to the patient and maintaining the highest level of patient confidentiality related to health information.

In order to release medical records, you or an authorized patient representative must fill out and sign a medical record release form. This form is required when a patient want copies of their own medical records, or wants those records released to another party, such as  an attorney, physician or insurance company. The form be filled out completely, and signed and dated by the patient.

Download Authorization for release of Medical Health Information

Mail the completed and signed release form to the Release of Information department to the IU Health campus you’re requesting records from. Please include a copy of your driver's license (or photo ID). To request records from IU Health White Memorial Hospital, send the form and photo ID copy to:

IU Health White Memorial Hospital
ATTN: Medical Records ROI
720 South 6th Street
Monticello, IN 47960

If you have questions, please call the Medical Records Department at 574.583.6153. Hours of operation are 8 am – 4 pm, Monday through Friday.