Ascension St. Vincent's Blount
What type of appointment would you like to book?
To receive records electronically, it's flat rate of $6.50 plus tax.
To receive paper copies, it's $0.90 flat rate plus $0.05 per page.
Medical Records Authorization Form
If someone is requesting records for someone else, we would need copy of ID for both parties.
If patient is deceased, we need copy of death certificate and we can only release to person listed as the informant (must have ID)
If patient is under 14, we would need copy of parents ID and a copy of child's SS card or birth certificate
If someone has Power of Attorney, the paperwork must state that medical records are included and of course we would need copy of ID.
To submit your request by Mail:
St. Vincent's Blount
Health Information Management
150 Gilbreath Drive
Oneonta, AL 35121
Attn: Release of Information
Phone #: 205-274-3070