HIPAA Request

As a patient and in many cases a patients family member you are able to request access and copies to medical records. If you are interested in exercising your rights under this important law please download the document below and contact our corporate office for further assistance to gain access to you or your loved ones records. 

To make a HIPAA record request online please fill out  and then submit this form:  Samaritan HIPAA Request Form

If for any reason you are having trouble downloading the form please contact the corporate office at the number below (844) 498-6471