Access Medical Records / Consent Forms

Medical Records/Health Information

The Medical Records (Health Information Management Services) team at Norton King’s Daughters’ Health is happy to assist you. To reach one of our representatives, call (812) 801-0520. We can help you with your MyKDH portal and anything related to your personal health information – including obtaining medical reports and documentation.

Release of Information Form

Click on Complete Request below to submit an online Authorization for Disclosure of Health Information. Please allow up to 30 days for us to process your request. If this is an urgent request – or if you need further assistance – please call (812) 801-0520. One of our Health Information Management (HIMS) team members will be happy to assist you.

If you need access to a medical consent form for your child, or to a release of information form, please use the links below to download the medical forms (PDF) you may need.

The medical consent form is ideal for parents with minor children (under age 18) who will be out of town for a short period of time (i.e. day, weekend). It allows you to proactively consent to emergency/urgent medical care should your child become ill or injured in your absence.

The release of information form allows you to authorize Norton KDH to release your personal medical records to another physician/provider, yourself, or to someone you designate. If you prefer to complete the release of information form in person, you may visit our downtown Madison location.
Location: Downtown Medical Building (1st Floor – first window on left): 630 North Broadway, Madison.

Printable Forms

Schedule an Appointment

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