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 to:
Health Information Management
ATTENTION: PRIVACY OFFICER
Jones Memorial Hospital
191 North Main Street
Wellsville, New York 14895
There may be a charge for this services. To find out more, contact Health Information Management Director Robert Seamon
For more information about Patient Privacy and Patient Safety at Jones Memorial Hospital, click here!
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