Medical Records

Physician offices or other health care providers may request a copy of medical records by faxing the request on office letterhead to (256) 386-4687.

Patients may also request a copy of medical records by mail or in person. Patients (or legal representatives) will be required to complete required forms and submit them with a copy of a valid photo ID. Please click on the forms below to print a downloadable version. Forms are also available in the Medical Records office.

Once Medical Records receives a request, it takes five to seven business days to process paper copies, three business days to process electronic copies and 30 days to process records currently stored on microfilm.

To speak with someone about your request, call (256) 386-4493.

To request a copy online

Helen Keller Hospital now offers an Online Patient Record Request tool for the following individuals to request patient records:

  • Patients requesting their own records
  • Parents of minor patients requesting records
  • Caregivers acting on behalf of a patient (i.e. Power of Attorney)
    • A copy of the Power of Attorney will need to be attached at the end while completing this request using our online tool.
    • If patient is deceased, please make sure to attach a copy of death certificate.

The Online tool verifies your identity by asking for a photo of your driver's license or valid photo ID (Driver’s License, Military or State/Government ID, Passport, Work Photo Badge, Non-Driver Identification Card or Other photo Identification) which can be taken via webcam or smartphone.

There is no additional charge to use this service. Once Medical Records receives a request, it takes 7-10 business days to process the request.

Please note, Chrome, Safari, and Firefox are the recommended browsers for this application. If you encounter any issues with your electronic request, please call our Medical Records Department at 256-386-4493.

If your records are needed for treatment or for an appointment within the next 48-72 hours, your physician can request records by fax 256-386-4687 when you arrive in his/her office for treatment.

If medical records are needed for continuing care, there is no charge when records are faxed directly to your physician or the facility providing treatment.

No Charges to veterans or active duty military personnel with Military Identification.

Fees for patients request:

  • Receive by Mail/paper copy: $0.12 per page
  • Receive by eDelivery/PDF: Flat $6.50

Click Here to Request Records

To request a copy by mail

Mail the completed forms to:

Helen Keller Hospital
Medical Records Department
1300 South Montgomery Ave.
Sheffield, AL 35660

Include a completed Authorization to Disclose Health Information form

To request a copy in person

Visit the appropriate Release of Information office
Monday-Friday 8 a.m. – 4:30 p.m.

Medical Records office location:
Helen Keller Hospital
Medical Records Department
1300 South Montgomery Ave.
Sheffield, AL 35660

You will need a completed Authorization to Disclose Health Information form

To request radiologic CD images and/or film:

Contact Imaging Services at (256) 386-4516

To request an itemized statement/statement of charges:

Contact Patient Accounting at (256) 386-4385

To request a copy on behalf of someone else:

If the patient is under the age of 14, physically or mentally incapacitated or deceased, a legally designated representative may complete the necessary forms on behalf of the patient and submit the request.

To view or request records online:

A summary of your inpatient stay can be found on our Patient Portal. If you do not currently have a login, you will need your discharge paperwork to sign in. Records not included in the portal will need to be pulled from our Medical Records department.

Patient portal support contact: (256) 386-4200 or This email address is being protected from spambots. You need JavaScript enabled to view it.

Click Here to Request Records

Helen Keller Hospital
1300 S. Montgomery Ave.
Sheffield, AL 35660
(256) 386-4196