To receive a copy of your medical records, please CLICK HERE to print and complete the Consent for Release of Information form. Send the completed form and a copy of your current driver’s license via fax to (678) 459-3498 or mail to:
St. Dominic Hospital
ATTN: Health Information Management
969 Lakeland Drive
Jackson, MS 39216
The copy of your records will be mailed or e-mailed through CIOX Health’s secure portal.
If you need to speak directly to a CIOX Health employee regarding a request for medical records, please call 601-200-6830.