Northeastern Tribal Health System
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Northeastern Tribal Health System
  • Home
  • NTHS Careers
  • Healthcare Services
    • Behavioral Health
    • Dental Services
    • Healthy Living Program
    • Laboratory
    • Medical & Nursing
    • Optometry
    • Pharmacy
    • Radiologic Imaging
    • Rehabilitation Services
  • Wellness Center
  • Wellness Center Calendar
  • Patient Resources
    • Medical Records
    • NTHS Medical Homes
    • Patient Services
    • Public Health Nursing
    • Purchased Referred Care
    • Smoking Cessation
  • Community Resources
    • Community Service
    • Community Health
    • Ottawa County Resources
    • Tribal Offices
  • About Us
    • About Us
    • Administrative Department
    • Accreditation
    • Awards
    • Community Partnerships
  • Contact Us

Health Information Management

Mail or Fax

Download a copy of the Patient Request for Health Information form to request copies of your medical information. You can also download a request for correction/amendment of your personal health information (PHI). Complete the form and either mail or fax the authorization. 

Click below to download the appropriate form.


Mailing Address

NTHS Attn Medical Records

PO Box 1498

Miami, OK 74355


Fax to Medical Records

1-855-919-1538


           

In Person Request and Pick-Up

You may submit your request in person in the Medical Records Department located behind Registration. You may also pick-up your requested records at the same location.           

Download Form

Release of Information (pdf)

Download

Request for Correction of PHI (pdf)

Download
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Northeastern Tribal Health System

7600 S Highway 69A, Miami, Oklahoma 74354, United States

(918) 542-1655

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