medical records

The department fully complies with the Health Insurance Portability and Accountability Act (HIPAA).

Our medical record department is committed to confidential and safe record keeping. Please allow 10 days for records to be processed. 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.

US & Utah state flags outside Kane County Hospital

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. 

Patient Authorization Form

Medical Records Costs

There may be a fee for copies of medical records.  Please contact us for more information.

Birth and Death Certificates/Social Security Card

Certified birth and death certificates are processed and purchased through Utah Vital Records Department. If you have questions regarding your child’s birth certificate, please contact Marie Aschliman, Utah Vital Records at 1-801-538-6366, or visit the Southwest Utah Public Health Department.

If you have questions regarding your child’s social security card, please contact the Social Security Administration Customer Service Center at 1-800-772-1213 or visit the SSA website at http://www.ssa.gov.

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. For more information or to complete an Advanced Health Care Directive or POLST form(s) please click on the link below.

» Utah Advanced Directive Forms
» POLST Forms

Related Services

billing

Billing

We accept all insurances; however, if we are not in your carrier’s network your claim may be processed as out-of-network.

family practitioners

Kanab Family Medicine

Kanab Family Medicine’s medical clinic is attached to the hospital; making it easy and convenient for patients.