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Requesting Patient Records

To request copies of patient records for yourself or to have them sent to another party, please download the Consent For Release of Information Form. Adobe Reader required for viewing and printing - if you do not have Reader, please download your free copy by following the link on this page. After downloading and printing the form, please complete it and mail or fax it to us. If you have any questions or your request is time-sensitive, please call us.

Nason Hospital
Health Information Management Department
105 Nason Drive
Roaring Spring, Pa. 16673

Phone: (814) 224-2141
Fax: (814) 224-6252