Patient Medical Records Requests
The privacy and confidentiality of our patient’s personal health information is very important to us.
Did you know you may access your records through the Patient Portal by clicking here? Or you can request a copy just follow the directions below.
To ensure complete and timely processing of your request please follow the directions below.
- The patient or patient’s legal guardian will complete the Request Form. Click here to download.
- Fill out the entire form, complete it and return the form to Centennial Health by one of the following methods:
- Personal Delivery to any one of the Centennial Health Clinics
- Mail to:
ATTN: Medical Records
PO BOX 1770
- Fax your request to _______________
To request an amendment to your medical record or make changes to who you share your information with contact the Compliance Officer at
- Phone: (405) 330-7003
- Email: Compliance@centennialhealth.com
ATTN: Heidi Delaney
225 Lilac Drive, Suite 200
Edmond, OK 73034