We want to make it as easy as possible for you to get a copy of your medical record. There are several options below to make the process convenient. Please note that in compliance with state and federal laws, all requests must be submitted in writing, completely filled out and signed.
How to request your medical record
On the form you will indicate how we should release the records - if you will pick up the records or if you would like us to mail them to you or your doctor. Please allow 7-10 days for requests to be processed.
There will be a nominal charge for copying. It is based on the amount of pages to be copied. However, if records are being sent to another physician, the fee will be waived.
Submit the Form
The completed and signed form may be mailed, faxed, or delivered to Deaconess Midtown Hospital Medical Records Department:
Deaconess Midtown Hospital
600 Mary St.
Evansville, IN 47747
To request a birth certificate, please contact the Vital Records Section of the Vanderburgh County Health Department
Questions about medical records? Please contact us! 812-450-3618