Ascension Saint Thomas Hospital West

Hospital Medical Records Request

1. Download the Authorization Form by clicking on the link below:

• English
• Spanish

2. Complete the Authorization Form

3. Return the completed Authorization Form to us by email, fax, or mail

Email Address: STHROI@cioxhealth.com
Fax Number: 615.284.4582 (Ascension Saint Thomas Midtown, Rutherford, or West)
Fax Number: 615.284.1823 (Ascension Saint Thomas Dekalb, Highlands, River Park, or Stones River)

Mailing Address:
Ascension Saint Thomas Hospital Midtown
2000 Church Street
Nashville, TN 37236

If you have questions, you can reach us at one of the numbers below:

Ascension Saint Thomas Dekalb or Stones River: 615-215-5386
Ascension Saint Thomas Highlands: 931-738-4160
Ascension Saint Thomas Hospital Midtown: 615-284-7203
Ascension Saint Thomas River Park: 931-815-4692
Ascension Saint Thomas Rutherford: 615-396-6612
Ascension Saint Thomas Hospital West: 615-222-6107

You may return the completed forms to the respective hospital in person. If you are returning the form in person, proper identification must be presented.

There is a charge associated with providing copies of medical records. For copies of Radiology CDs or films, please contact the Radiology Department at the hospital you were treated at.

Medical Group Medical Records Request

1. Download the Authorization Form by clicking on the link below:

• English
• Spanish

2. Complete the Authorization Form

3. Return the completed Authorization Form to us by email, fax, or mail

Fax Number: 615.222.7275

Mailing Address:
Ascension Medical Group Saint Thomas
301 21st Ave North
Nashville, TN 37203

If you have questions, you can reach us at 615-222-7257. There is a charge associated with providing copies of medical records.