The Health Information Management Services department at Ogallala Community Hospital is responsible for keeping complete medical records for each patient.
Hours of Operation:
- 8 a.m. to 5 p.m.
- Monday - Friday
Obtaining a copy of your Medical Record
Your original medical record is property of Banner Health, but the information in it belongs to you.
To obtain copies of your medical record information, please print the release form provided below. You may present this completed form:
- In person in the Medical Records department
- By mailing to Medical Records, Ogallala Community Hospital, 2601 N. Spruce St., Ogallala, NE 69153
- By faxing to Medical Records at (308) 284-7239
The first 25 pages of your medical record are copied free of charge. A charge of $.50 per page will incur thereafter.
In order to fulfill your request in a timely manner, please ensure this form is signed and complete before submitting. A photo ID is required to be shown when picking up your copy of your medical record. You may also request your medical record to be copied onto a CD for your convenience.
- English Release of Information Authorization Form
- En español "Permiso Para Copiar Documentos Médicos," en español"
Questions or Concerns
To assist with your requests or address your concerns, our staff is available to help at (308) 284-7278 or by email.
Ogallala Community Hospital is committed to comply with the Health Insurance Portability and Accountability Act (HIPAA), Security, and Electronic Transaction Standards. Learn more about our privacy practices. For any HIPAA or privacy concerns, please contact our Ogallala privacy officer at (308) 284-7277 or by email.