FMH Medical Records

FMH Health Information (Medical Records)

Information release specialists can provide copies of records for services that occur at Fairbanks Memorial Hospital.  Services performed at other facilities need to be requested from those facilities. If you are a Tanana Valley Clinic (TVC) patient and would like your records, please contact TVC medical records.

Medical records do not contain billing information. Contact the Patient Financial Services Department at (907) 458-5510 to obtain copies of billing records.

How to Request Records

All releases require completion of the authorization form and photo ID in order to allow for disclosure of your records to yourself or to another entity.

Please use our online request form to electronically and securely request your records.

If pick up is specified on your request, you will receive a phone call when your records are ready.

For all other forms of request, and to help us expedite your request for release of information please follow these steps:

  • Download, print and fill out the medical records authorization form completely, sign and date. 
  • Submit your request with a copy of an official photo ID(typically a driver’s license) via one of the following:
    • Email (secure)
      Send an email along with a copy of your photo ID and a completed authorization form. 
    • US Mail
      Mail your request, a copy of an official photo ID, and completed authorization form to:
      Fairbanks Memorial Hospital HIM Dept
      1650 Cowles Street
      Fairbanks, Alaska 99701
    • Fax (secure)
      You can fax your request, a copy of an official photo ID, and completed authorization form to (907) 458-5454.

P: (907) 458-5450
F: (907) 458-5454

Email Us

3-Website Icons_hours.pngWalk-in Hours
Monday - Friday
8 am-4:30 pm
1001 Noble Street, Suite 400

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Record Request Documents: https://www.foundationhealth.org/fhp_records/medical_records_forms

Birth Registration: /fhp_records/fmh/birth_registration

Non-Patient Requests: /fhp_records/fmh/non_patient_requests

Health Information Exchanges: /fhp_records/health_information_exchanges

TVC Medical Records: /fhp_records/tvc

Imaging Records: /fhp_records/imaging_records

Electronic Record Request: https://fhp907.wufoo.com/forms/q9drn1x1yb9mj6/

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