Patient Requests:

To request copies of your medical records, please print and fill out SPH's Patient Records Request form or call the Health Information Management Department at 608-643-7520.

Non Patient Records Request (Attorneys, Insurance Companies, etc.) 

Please print and have the patient fill out an Authorization for Disclosure of Health Information Form. 

If you have any questions when completing the form, please call the Health Information Management department at 608-643-7520. 

• Drop if off: The Patient Records Request forms may be dropped off at the Welcome desk at the hospital or any of the Sauk Prairie Healthcare Clinics.  
• Mail it:  Patient Records Request forms may be mailed to the address listed below:

  Sauk Prairie Healthcare
  Attn: Health Information Department
  260 26th St
  Prairie du Sac, WI  53578

• Fax it:  Patient Records Request Forms or Authorization for Disclosure of Health Information Forms may be faxed to the Health Information Department’s fax number.  608-643-7535

• Email it:  Patient Records Request forms may be emailed to the Health Information Department at Myhealth.Support@saukprairiehealthcare.org.  

• Requests are usually completed within 7-10 business days.  Requests may be completed in less than 7-10 business days if the request is for a medical need/upcoming appointment.