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Medical Records Request

Medical Records Request

Medical Records

Do you have questions about your medical records, or would like to request a copy of your medical records from Southeastern Med?

To request your medical records please download, fill out and submit our Release of Information Authorization form.

There are four ways you can send us this information:

  1. Fill it out electronically and email it to us at medicalrecords@seormc.org
  2. Print, fill out & fax it to us @ Fax:1-740-439-8658
  3. Print, fill out & mail it to us: 1341 N. Clark St. Cambridge, OH 43725 Attn: Medical Records
  4. Print, fill out & bring it in person to the Medical Records Dept.

You will need to provide the following:

  • Name & DOB of patient requesting records
  • Visit location/date, as well as description of records needed
  • Patient signature/witness signature (other than family)
  • Legible copy of photo ID

How do I get a copy of my records?
Call (740) 439-8651 Monday through Friday 8am – 5pm.

How do I get a copy of diagnostic images on CD?
Call our Radiology department at (740) 439-8036.

I would like to get a copy of a family member’s records. Can I do this?
Only the patient may release his/her records. However, if you have the power of attorney or are the executor of a patient’s estate, you may submit a request in writing along with a copy of the legal document.

Do you release any information verbally?
The only information Medical Records releases verbally is date of admission and date of discharge.

Can you help me find out my blood type?
We do not give patients their blood type, for the only time there would be record of this is if the patient needed to be crossmatched for transfusion purposes or had a surgery at our facility. Please contact your local health department:

Guernsey County Health Department: (740) 439-3577
Noble County Health Department: (740) 732-4958
Muskingum County Health Department: (740) 454-9741

I was born at Southeastern Ohio Regional Medical Center. How can I obtain my birth certificate?
You need to contact your local health department for these records.

Guernsey County Health Department: (740) 439-3577
Noble County Health Department: (740) 732-4958
Muskingum County Health Department: (740) 454-9741