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.