In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Services Patients & visitors Health library For medical professionals Quality About us
Text Size:  -   +  |  Print Page  |  Email Page

Medical record request form



Former Baptist Health La Grange patients in need of a copy of their medical record can complete the attached form and mail it to:

Health Information Management
Baptist Health La Grange
1025 New Moody Lane
La Grange, KY 40031

A medical records request form is also available online.

Please call (502) 222-3301 with any questions..

* We apologize for the inconvenience, but due to the need for a signature, we cannot accept e-mailed copies of this form.