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To request a copy of your medical record, complete the Release of Information Authorization (English) or Autorización de Divulgación de Información (Español) form and return to the Medical Records Department at JCDHE. Read this form carefully and fill out ALL areas completely. If your form is incomplete, JCDHE will not be able to process your request. If you need help completing the form, call 913-826-1200 or send an email to MedicalRecords-DHE@jocogov.org. Fax your completed form to 913-826-1300 or mail to:

Johnson County Department of Health and Environment
11875 S. Sunset Drive, Suite 300
Olathe, KS 66061

The first 10 pages are free. If records are more than 10 pages, the fee will be $.63 per page. Turnaround time is usually 10 business days or less.

Requests from insurance companies or law firms must include a signed release. A statement from the requester agreeing to pay for any charges incurred for the reproduction of the records is also required.