Third Party Requests

Non-Patient, Third-Party Record Requests

Our information release specialists process requests for records in the order received. All requests must be in writing. Requests must meet Privacy Rule criteria for treatment, payment, operations or must be accompanied with a signed authorization by the patient or patient’s representative whose records are requested. All requests are subject to a fee except treatment, payment, and operations.

Requests must provide complete requestor information to include:

  • Requestor name, title and contact information (phone, fax and email)
  • Company name and address
  • If third party vendor, name the Business Associate on whose behalf you are making the request for records

Requests must include these specific details:

  • Patient full name and date of birth
  • Reason for request
  • Define dates or describe treatment events or encounter details (i.e. ED visit, last chest x-ray) of records needed

Frequently Asked Questions

Q: How can requests be sent/received?

A: Any of the following:

You may submit your request at our service window between the hours of 8 a.m. – 5 p.m., Monday – Friday.


Send an email along with the information outlined above. 

US Mail
Mail your request to:
Fairbanks Memorial Hospital HIMS Dept
1650 Cowles Street
Fairbanks, Alaska 99701

You can fax your request to (907) 458-5454. 

Q: What is turnaround time for request completion?

A: All requests are prioritized with patient care as top priority. Requests will be completed based on priority status, receipt date and volume of requests. Generally all requests will be completed within 30 days of receipt. **We will respond to status requests if request is greater than 30 days.

Q: How do I know if my request is being processed?

A: Your request will be processed unless proper documentation or information is not received. A rejection letter will notify you of this issue.

Contact Health Information

Fairbanks Memorial Hospital
P: (907) 458-5450
F: (907) 458-5454
Email Us
Monday - Friday:
8 a.m. - 4:30 p.m.

Tanana Valley Clinic
P: (907) 458-2647
F: (907) 459-3566
Email Us
Monday - Friday:
8 a.m. - 4:30 p.m.

Porter Heart & Vascular Center
P: (907) 458-6450
Email Us
Monday - Friday:
8 a.m. - 4:30 p.m.

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