Medical Records (HIM)
The Health Information Management department securely maintains your medical history and processes requests for the release of information.
How to Request Your Records
To protect your privacy in accordance with HIPAA regulations, South Peninsula Hospital requires a completed and signed Authorization for Release of Information form before we can release any medical records.
Download the Form
Download and print the official authorization form.
Release of Information Form (PDF)Complete & Sign
Fill out the form completely. It must be physically or digitally signed by the patient or their legally authorized representative.
Submit the Request
You can submit the completed form via fax, mail, or by dropping it off in person at the HIM department.
HIM Department Contact
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Phone & Fax
Phone: (907) 235-0211
Fax: (907) 235-0212
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Mailing Address
South Peninsula Hospital
Attn: Health Information Management
4300 Bartlett Street
Homer, AK 99603
Note: Processing times for record requests can take up to 30 days as permitted by state law, though we strive to complete them as quickly as possible.