To obtain a copy of your Shawnee Medical Center Clinic medical record you must submit a completed and signed release authorization form, as follows:

1) Get the Form

To get a blank release form, you may:

• Download it online by clicking here Records Release Form
• Stop by our Information Desk
• Have it mailed to you by . . . Calling us at (405) 395-3955 or Toll Free 1-(800) 479-1993 ext. 3055

2) Submit the Form

The completed and signed form may be mailed, faxed, or delivered to Shawnee Medical Center Clinic, Medical Records department:

Shawnee Medical Center Clinic
2801 N.Saratoga
Shawnee, OK 74804

There may be a nominal charge, based on the amount of pages to be copied. However, if records are being sent to another physician, the fee will be waived.

On the form you will indicate how we should release the records - if you will pick the records up, or if you would like us to mail them to you or your doctor. Please allow 72 hours for requests to be processed.