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Jones Memorial Hospital / My Health Info / Need Your Health Records?

Need Your Health Records?

If you need a copy of your health records, please download and print the Authorization to Disclose Health Information Form.

Once you have filled out the information, you may mail it along with proof of identity—such as driver's license or other government-issued photo ID—to:

Health Information Management
Jones Memorial Hospital
191 North Main Street
Wellsville, New York 14895

Or you may email your completed form and proof of identification to Health Information Management.

There may be a charge for this services. To find out more, contact Health Information Management.

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