If you need a copy of your medical record, please complete the Release of Information Authorization (English) or Autorización de Divulgación de Información (Español) form and return it to us via email at [email protected]. You can fax the form to us at 913-826-1300. If you need further assistance, contact Medical Records at 913-477-8355. You can also mail the form 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, pages 11 up to 250 will be billed at the state per-page rate of $.63 per page (per K.S.A. 65-4971(b), thereafter $.45 per page plus $18.97 for shipping and handling. NOTE: Rates are subject to change with review of the Consumer Price Index. Turnaround time is usually 10 business days or less but can take up to 30 days.
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.