Medical Records Request

To request medical records, please print, complete and sign the Authorizations for Use and Disclosure form. Return the completed form with a copy of your ID to the location where your records are held.

Authorization for Use and Disclosure of Health Information (English)

Authorization for Use and Disclosure of Health Information (Spanish)

Clinics

North Mississippi Medical Clinics & North Mississippi Medical Center Clinics (all locations)

Address: 446 E President St., Suite 446, Tupelo, MS 38801
Office Hours: 8 a.m.-5 p.m. Monday-Friday
Phone Number: (662) 377-5008 or (662) 377-5032
Fax Number: (662) 377-5222

Hospitals

*Our HOSPITAL fax lines are for the sole use of record requests from health care providers for continuation of care. Requests from patients, attorneys, insurance companies or record retrieval service must be sent via mail to the location where the services took place or email to HealthInfoROI@nmhs.net.

North Mississippi Medical Center-Eupora
Address: 70 Medical Plaza, Eupora, MS 39744
Office Hours: 8 a.m.-4:30 p.m. Monday-Thursday; 7:30 a.m.-4 p.m. Friday
Phone Number: (662) 258-9323
Fax Number: (662) 258-9295*

North Mississippi Medical Center Gilmore-Amory
Address: 1105 Earl Frye Blvd., Amory, MS 38821
Office Hours: 8 a.m.-4:30 p.m. Monday-Friday
Phone number: (662) 256-6213
Fax Number: (662) 256-3133*

North Mississippi Medical Center-Hamilton
Address: 1256 Military St. South, Hamilton, AL 35570
Office Hours: 8 a.m.-2:30 p.m. Monday-Friday
Phone Number: (205) 921-6222
Fax Number: (205) 921-6227*

North Mississippi Medical Center-Iuka
1777 Curtis Drive, P.O. Box 860, Iuka, MS 38852
Office Hours: 8 a.m.-4:30 p.m. Monday-Friday
Phone: (662) 423-4528 or (662) 423-4529
Fax Number: (662) 423-4532*

North Mississippi Medical Center-Tupelo (main hospital)
Address: 830 S. Gloster St., Tupelo, MS 38801
Office Hours: 8 a.m.-5 p.m. Monday-Friday
Phone Number: (662) 377-3043
Fax Number: (662) 377-3338*

North Mississippi Medical Center Women’s Hospital (Tupelo)
Address: 4566 S. Eason Blvd., Tupelo, MS 38801
Office Hours: 8 a.m.-4 p.m. Monday-Friday
Phone Number: (662) 377-4935
Fax number: (662) 377-3715*

North Mississippi Medical Center-West Point
Address: 150 Medical Center Drive, West Point, MS 39773
Office Hours: 8 a.m. to 4:30 p.m. Monday-Friday
Phone Number: (662) 495-2329
Fax Number: (662) 495-2391*