Need Your Health Records?
If you need a copy of your health records, please download and print the Authorization to Disclose Health Information Form
Once you have filled out the information, you may mail it along with proof of identity - such as drivers license or other government-issued photo ID - to:
Health Information Management
ATTENTION: PRIVACY OFFICER
Jones Memorial Hospital
191 North Main Street
Wellsville, New York 14895
Or you may email your completed form and proof of identification to Health Information Management
There may be a charge for this services. To find out more, contact Health Information Management
For more information about Patient Privacy and Patient Safety at Jones Memorial Hospital, click here!