To obtain your medical records from Adena Health System, to include Adena Regional Medical Center, Adena Greenfield Medical Center, Adena Fayette Medical Center and Adena Pike Medical Center, one of the request options below can be used.

An authorization form is required for all requests for personal health information. The authorization form is not valid if one or more required elements are left blank. Failure to complete all required elements may result in a delay in processing your request.

In some cases there is a charge for medical records.  Adena follows State and Federal guidelines regarding charging a copy fee for medical records, this includes charging attorneys, third party payers and patients for personal copies.  However, there is no charge to patients for records sent to physician offices, hospitals, and other healthcare providers.

Medical Records Fees

Option 1 - Request Records Online

Our web-based tool offers our patients and their families an easy and secure way to request medical records online. There is no additional charge to use this online service, however, there may still be a cost associated with retrieving your medical records. 

Request Medical Records Online

Option 2 - Through MyChart

Patients can access certain records using their MyChart account. Patients will need to create an account if they do not already have an active account, which requires a unique validation code. 

The MyChart Support Help Desk

If you need help accessing MyChart or do not have a validation code, contact: 

Phone: 614-366-6975 or 866-966-6975
Monday - Friday 7 a.m. - 6 p.m., except for holidays.
MyChart Support Help Desk

Option 3 - By Mail or Fax

To request your medical records through mail or fax, please print and complete the form below:

Authorization to Release Protected Health Information

This form is in .PDF format and will require the Acrobat Reader plug-in to view.

Then mail, deliver in person or fax the completed form to:

Mailing Address

Adena Health Systems, Medical Records
110 Vaugh Lane
Chillicothe, OH 45601



Please Note:

  • We will be unable to process incomplete forms.
  • Please include a copy of your photo identification/driver’s license.
  • Please also ensure that you include your telephone number in the event we have any questions regarding your request.

Option 4 - In-Person Pick-Up

Medical records can be picked in-person up at the following Adena Health locations:

Adena Regional Medical Center
Medical Records Department
Financial Services Building
110 Vaughn Lane
Chillicothe, Ohio 45601
Adena Pike Medical Center
Medical Records Department
100 Dawn Lane
Waverly, Ohio 45690
Adena Fayette Medical Center
Medical Records Department
1430 Columbus Ave.
Washington Court House, OH 43160
Office Hours

Monday- Friday, 8 a.m. - 4:30 p.m. (closed holidays)

Phone Number


Making Changes to Your Medical Records

The federal HIPAA regulations on patient privacy and confidentiality allow you the right to request that we make amendments to the information in your medical records.  In order to protect the privacy and confidentiality of your protected health information (PHI) and to comply with federal law, your request is to be documented on the “Amendment Request Form” and send to the Director of Health Information Management.  Your request will be processed within 60 days, and you will be notified in writing as to the outcome of your request.

Download the Medical Record Amendment form


Medical Records Request