If you would like to be able to review your medical record in person, please call to make an appointment with the Medical Record Department. Please note that we cannot process a medical record request without an authorization form containing your signature. Privacy regulations do not allow us to process a records request via e-mail. (Forms above) Complete the printed form, and either fax or mail it to the appropriate Medical Center (numbers and addresses are provided to the left).

We are open from 8:00am to 4:00pm Monday through Friday.

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When you come for your appointment, please bring a picture ID. After verification of your identity, you will be asked to complete an authorization form. If your record involved psychiatric care, in accordance with hospital policy and state law, we will notify your physician and upon his approval you may review your medical record.

The medical record is the property of Kettering Health Network and may not be removed from the hospital premises. For more information, please view the "Frequently Asked Questions" page which you can access on this page, in the left column.

If you are requesting copies of original birth or death certificates, please contact Montgomery County Vital Statistics, phone number (937) 225-4418. Thank you.

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