Health Information Management

Hours: Hours of Operation 8:00 a.m. to 5:00 p.m. Monday through Friday with the exception of holidays

Phone: 435-644-4149

Fax: 435-644-4114

Contact: Kelly Jackson Contact Kelly Jacksonnet/kchosp//KJackson

Contact Information
Mailing Address: 355 North Main Street, Kanab, UT 84741

Medical Records
To obtain a copy of your medical record(s), please complete a patient authorization form and submit it in person, by mail, or by fax.
» Open/Print Record Request form

Medical Records Costs
There is a fee for copies of medical records.  Please contact us for more information. 

Birth and Death Certificates
Certified birth and death certificates are processed and purchased through Southwest Utah Public Health Department, Vital Records Department.

Health Care Directives (Power of Attorney, Living Will, POLST)
If you would like the hospital to have a copy of your Health Care Directive on file, please submit a copy in person, by mail, or by fax. To complete an Advanced Health Care Directive or POLST form(s) please click on the link below.

» Utah Advanced Directive Forms
» POLST Forms

Patient Portal
It is now possible for you to access some of your health records online through our Patient Portal. If you have any questions please contact our office. 

HIM Staff Members:

Kelly HIM Manager

D’Asia HIM Assistant

Amy, RHIT Coder/Abstractor

Mary Coder/Abstractor

Trudy Coder/Abstractor