Accessing Your Medical Records

Woman filling out a patient form

Faith Health is committed to protecting your private medical information and has established processes in place for releasing medical records to our patients. If you need to obtain a copy of your medical records, you can:

Access Your Medical Records in OneChart | Patient

OneChart | Patient provides access to a limited set of your health record at no cost to you. Those records include history and physicals, discharge summaries, lab results, image reports, ED notes and progress notes.

If you need help accessing your One Chart | Patient account, please contact the customer service team at (402) 559-0700 or by email at onechartpatient@nebraskamed.com. Representatives are available 24/7 by phone and from 8:30 AM to 5:00 PM via email.

Fill Out and Submit a Request to Access Medical Information Form

If you need to obtain a copy of your medical records or need to request to have them sent to another healthcare facility, insurance company, attorney, or another individual, you must submit a completed, signed, and dated authorization form, located below.

Request to Access Medical Information Form

Complete, sign, and date this form.

Complete, firme y feche este formulario.

Please fill out these release forms clearly, legibly, and completely before submitting it for us to fulfill. We are required by federal HIPAA regulations to ensure that all sections of this release are legible and all information is complete. If the form is not filled out completely or legibly, it will be returned to you for resubmission once completed. Please include your contact phone number for us to call with any questions.

If you have any questions while completing this form, please call our Health Information department at (402) 644-7602. Our office is open for walk-ins Monday-Friday from 8:00 a.m.-4:00 pm and by phone Monday-Friday 8:00 a.m.-4:30 pm. You can also email us at releaseofinformation@frhs.org.

To Submit the Forms

Once you have completed the release forms, you can return the forms using one of the methods below:

Mail

You can mail the form to our office at:

Faith Health
Attn. Health Information
2600 W. Norfolk Ave Ste 200
Norfolk, NE 68701

Fax

You can fax the form to us at (402) 644-7510

Email

You can email the form to us at releaseofinformation@frhs.org

Walk In

You can bring the form to the Medical Records Department at 2600 W. Norfolk Ave Ste 200, Norfolk, NE 68701.

Charges may apply for medical record copies or CD/DVD radiology images released. Medical records requests will be filled within 30 days of your request.


Sharing Your Medical Records

Share your records with another provider, clinic, or hospital:

If you'd like to send your records directly to another healthcare provider or facility, you can do this securely through your OneChart | Patient account.

  1. Sign in to OneChart | Patient

  2. Go to Menu > Sharing Hub

  3. Choose who you want your records to be sent to

  4. Choose to download, print, or send your record electronically

For healthcare providers: Faith Health participates in Care Everywhere, a secure tool that allows providers to request and receive your records directly — no action needed from you.

Tip: For the fastest processing, ask your provider to request your records directly from Faith Health through their EHR system.

Subpoenas, court orders, legal requests and other 3rd party requests for records:

Copies of medical records can be sent to any other individual or organization as directed by the patient or their legal guardian. Additional fees apply as allowed by the state.

Looking to request a copy of a birth certificate?

While we can provide medical information and records, we cannot provide copies of birth certificates. Contact Nebraska Department of Health and Human Services or order a birth certificate online at Vital Records

Amendments to Medical Records

An amendment is a formal request to alter or create an addendum to a record. It is used in cases where it is not felt that the original documentation accurately reflects the condition, diagnosis, treatment, or other actions relating to health care provided to the patient. Please note that Faith Health is unable to change health information in a document but can create an amendment to the record. 

  • It is required that the request is submitted in writing. 
  • Please be as specific as possible regarding information that is felt to be inaccurate, as well as why it is felt to be inaccurate, to aid in the decision-making process. 
  • One or more amendment requests may be made. Each request will be considered separately. 
NOTICE on Intent to Destroy Medical Records 

Healthcare Facilities must retain patient medical records in accordance with Federal and State Regulations. Once the retention regulations are met, medical records may be destroyed following organizational policy.

Beginning on 2/15/2026, we will begin the destruction of Cancer Center and Dr. Davis’s clinic’s older medical records. You may request medical record prior to destruction. 

Paper medical records for adults that have not been seen in the hospital since 12/31/2015 shall be destroyed. 

Paper medical records for minors that have not been seen in the hospital since 12/31/2003 shall be destroyed. 

To request your medical records please see the instructions on this webpage or call 402-644-7602.  

Need to Request your Medical Records?

If you have any questions while completing this form, please call our Health Information department at (402) 644-7602. Our office is open for walk-ins Monday-Friday from 8:00 a.m.-4:00 pm and by phone Monday-Friday 8:00 a.m.-4:30 pm.

Email us today!

test HEALTH to 68626 to opt-in and receive health updates straight to your phone. Terms & conditions apply