Ascension St. Vincent Kokomo

St. Vincent retains hospital-based medical records in accordance with Federal and Indiana laws and regulations. Information contained in the patient’s medical record is confidential. For this reason, all requests for medical records must include a signed authorization by the patient (see the Medical Records Authorization form under locations).

St. Vincent HIM – Medical Records Department securely maintains electronic copies of our St. Vincent patients’ medical records as they relate to inpatient and outpatient services for hospital, outlying surgery center procedures, radiology and therapy services.

A fee is charged to cover the processing of requests. However, a fee is not charged when the copies requested are to be sent to a physician, as those requests are a part of your continuing care.

Request Your Medical Records

Download the Authorization Form

Mail or Fax completed form to:

Ascension St. Vincent Indianapolis
2001 West 86th Street
Indianapolis, Indiana 46260

Or call:
317-338-2216
317-583-2446 FAX (physicians only)
317-338-9559 FAX (general)

Ascension St. Vincent Kokomo
1907 W. Sycamore Street
Kokomo, Indiana 46901

Or call:
765-456-5742
765-456-5776 FAX (general)

Ascension St. Vincent Anderson
Call our Release of Information line at: 765-646-8261
Fax a signed and dated request to: 765-646-8119
Mail a written request to: Ascension St. Vincent Anderson, Attn: HIM, 2015 Jackson Street, Anderson, IN 46016

Ascension St. Vincent Avon
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Brownsburg
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Carmel
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Castleton
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Clay
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Dunn
Call our Release of Information line at: 812-276-1066
Fax a signed and dated request to: 812-276-1263
Mail a written request to: 1600 23rd Street, Bedford, IN 47421

Ascension St. Vincent Evansville
Call our Release of Information line at: 812-485-7606
Fax a signed and dated request to: 812- 485-7609
Mail a written request to: Ascension St. Vincent Evansville Attn: HIM, 3700 Washington Ave. Evansville, IN 47750

Ascension St. Vincent Fishers
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Greenwood
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Heart Center
Call our Release of Information line at: 317-583-5400
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Heart Center, Attn: HIM, 10580 North Meridian Street, Indianapolis, IN 46290

Ascension St. Vincent Hospital - Indianapolis
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Jennings
Call our Release of Information line at: 812-352-4238
Fax a signed and dated request to: 812-276-1263
Mail a written request to: Ascension St. Vincent Jennings Hospital, Attn: HIM, 301 Henry Street, North Vernon, IN 47265

Ascension St. Vincent Kokomo
Call our Release of Information line at: 765-456-5742
Fax a signed and dated request to: 765-456-5776
Mail a written request to: Ascension St. Vincent Kokomo, Attn: HIM, 1907 W. Sycamore Street, Kokomo, IN 46901

Ascension St. Vincent Mercy
Call our Release of Information line at: 765-552-4683
Fax a signed and dated request to: 765-646-8119
Mail a written request to: Ascension St. Vincent Mercy, Attn: HIM, 1331 South A St. Elwood, IN 46036

Ascension St. Vincent Noblesville
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Peyton Manning Children's Hospital
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Hospital Plainfield
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Randolph
Call our Release of Information line at: 765-584-0352
Fax a signed and dated request to: 765-646-8119
Mail a written request to: Ascension St. Vincent Randolph, Attn: HIM, 473 E Greenville Ave. Winchester, IN 47394

Ascension St. Vincent Salem
Call our Release of Information line at: 812-883-8594
Fax a signed and dated request to: 812-276-1263
Mail a written request to: Ascension St. Vincent Salem, Attn: HIM, 911 N. Shelby Street, Salem, IN 47167

Ascension St. Vincent Hospital Seton
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Ascension St. Vincent Stress Center
Call our Release of Information line at: 317-338-4611
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Stress Center, Attn: HIM, 8401 Harcourt Road, Indianapolis, IN 46280

Ascension St. Vincent Warrick
Call our Release of Information line at: 812- 897-7140
Fax a signed and dated request to: 812- 485-7609
Mail a written request to: Ascension St. Vincent Warrick, Attn: HIM, 1116 Millis Ave. Boonville, IN 47601

Ascension St. Vincent Hospital Williamsport
Call our Release of Information line at: 765-762-4027
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Williamsport Hospital, Attn: HIM, 412 N Monroe St. Williamsport, IN 47993

Ascension St. Vincent Women's Hospital
Call our Release of Information line at: 317-338-2216
Fax a signed and dated request to: 317-338-9559
Mail a written request to: Ascension St. Vincent Indianapolis, Attn: HIM, 8335 Naab Rd. Indianapolis, IN 46260

Services Provided

Request medical records from inpatient and outpatient services from the St. Vincent where you received those services.

• ER report
• Dictated consults
• Discharge summary
• History and physical assessments
• Lab and pathology reports
• Operative/ Procedure Report
• Therapy notes
• Radiology reports
• Other reports

Amendments to medical record accepted by the HIM Department

• For more information see the Hospital Privacy Officer

File Advanced Directives and Living Wills with the medical record

• For general information about how to create an Advanced Directive and a Living Will go to the online Indiana Department of Health Advanced Directives Resource Center

Disclaimer: St. Vincent Hospitals and St. Vincent Health Information Management Department are NOT affiliated with PatientBank, a private health information management company.

Questions?

Please call the Health Information Management (HIM) Department at 317-338-2216 for St. Vincent Indianapolis, or 765-456-5742 for St. Vincent Kokomo, Monday - Friday, during daytime hours.