Medical Records Request

Patient Medical Records Request Form

The privacy and confidentiality of our patient’s personal heath information is very important to us at Norman Regional. The patient or patient’s legal guardian will complete the following form to authorize access or disclosure for the patient’s protected health information. This form will allow us to release the patient’s health information for continued treatment, insurance/payment, legal, or other purposes.

Download Medical Records Request Form

Please print, complete the entire form, and return to the Health Information Management Department by any of the following methods:

  • Fax to ATTN: HIM Department @ one of the fax numbers listed below.
  • Mail to ATTN: HIM Department @ 901 N. Porter, Norman, OK 73071.
  • Personal Delivery – The HIM Department accepts release of information record requests Monday – Friday, 8am – 5pm.

The HIM Department accepts patient record requests at any of our three campus sites, not specifically to the location in which services were rendered.

Porter Campus:
901 N. Porter, Norman, OK. 73071
Phone: 405-307-1366
Fax: 405-307-1360

Moore Medical Center:
700 S. Telephone Road, Moore, OK. 73160
Phone: 405-912-3010
Fax: 405-912-3014

Health Plex:
3300 Health Plex Park Way, Norman, OK. 73072
Phone: 405-515-1366
Fax: 405-515-1360

Please contact the HIM Department at (405) 307-1366 if further assistance is needed.