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                      • Northwest Health Expands Orthopedic Care with Addition of Dr. Ron Schechter

                        05.19.2025

                      • Family Medicine Provider Nettie Kinsey, FNP-BC, Joins Northwest Health

                        05.12.2025

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                      Request Medical Records

                      Request Medical Records


                      Patients who have received care at this facility may request copies of their medical records/health information to be released to themselves or others/third parties. Please see Questions About Medical Records for important information before submitting a request for records. Record requests from patients are handled as priority and will be released in a timely manner.

                      If you have created a Patient Portal account, you may already have access to the information you need. Click here to access or register for your patient portal.

                      Requesting your medical records online is an easy, fast, and secure way to receive your information. We recommend online medical requests whenever possible. Just use the button below and follow the prompts.

                      Request Medical Records Now

                      If you are not able to use the online request process, download one of the forms below, complete and send to:

                      Northwest Medical Center - Bentonville
                      Phone - (479) 553-4000
                      Fax - (479) 271-7018
                      Email - MedicalRecordsRequest@nw-health.com
                      Mailing Address/Drop-off Address
                      3000 Medical Center Parkway
                      Bentonville, AR 72712

                      Northwest Medical Center - Springdale
                      Phone - (479) 757-4500
                      Fax - (479) 757-2930
                      Email - MedicalRecordsRequest@nw-health.com
                      Mailing Address/Drop-off Address
                      609 W. Maple Ave.
                      Springdale, AR 72764

                      Northwest Health - Physicians' Specialty Hospital
                      Phone - (479) 571-7056
                      Fax - (479) 571-7090
                      Email - MedicalRecordsRequest@nw-health.com
                      Mailing Address/Drop-off Address
                      3873 Parkview Drive
                      Fayetteville, AR 72703

                      Siloam Springs Regional Hospital
                      Phone - (479) 215-3160
                      Fax - (479) 549-3344
                      Email - MedicalRecordsRequest@nw-health.com
                      Mailing Address/Drop-off Address
                      603 N. Progress Ave.
                      Siloam Springs, AR 72761

                      Willow Creek Women's Hospital
                      Phone - (479) 684-3156
                      Fax - (479) 684-3107
                      Email - MedicalRecordsRequest@nw-health.com
                      Mailing Address/Drop-off Address
                      4301 Greathouse Springs
                      Johnson, AR 72741

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                      Questions About Medical Records

                      Who can request a patient's medical records?
                      Authorizations must be signed by the patient or the patient's legal representative. If the patient is a minor (under age 18), authorization must be signed by a custodial parent or a legally appointed guardian. Proof of guardianship is required.

                      What if the patient is unable to sign the authorization?
                      If the patient is unable to sign by reason of physical or mental disability, authorization may signed by the next-of-kin or legally appointed guardian. Proof of guardianship is required, and must indicate the patient's disability.

                      How can I receive records for someone who is deceased?
                      Authorization must be signed by the personal representative of the estate or next-of-kin. If the patient did not expire at the facility, proof of death is required. Additionally, appointment as the personal representative of the estate or status as next-of-kin must be verified.

                      What types of documentation are needed if I am requesting records for someone else?
                      If you hold Power of Attorney (POA), are a Healthcare Surrogate or Healthcare Proxy, the related legal forms and court orders must be provided. This may result in additional review and processing times.

                      Do medical request authorizations expire?
                      Yes. Authorizations will expire on the date/time or event specified on the release form. A new release form will be required if an older release form does not support the new request for records.

                      Do medical records include billing information?
                      No. The Medical Records Department does not have access to billing records or information.

                      Will there be a charge for copies of my medical records?
                      There may be a charge for copies of medical records for yourself or a request directed to a third party (excluding continuity of care request). These charges would be in accordance with HIPAA reasonable cost and/or your state law. Contact the HIM Department for questions concerning potential costs.

                      Affiliated Hospitals

                      • Northwest Health Physicians' Specialty Hospital
                      • Northwest Medical Center - Bentonville
                      • Northwest Medical Center - Springdale
                      • Siloam Springs Regional Hospital
                      • Willow Creek Women's Hospital
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                      Copyright ©2025. All rights reserved.

                      An AllianceHealth Oklahoma® hospital

                      Services

                      • Bariatric Weight Loss Services
                      • Behavioral Health
                      • Breast Care
                      • Cancer Care
                      • Diabetes Care
                      • Diagnostic Imaging
                      • Digestive Health
                      • Ear, Nose & Throat Care
                      • Emergency Services
                      • Eye Care
                      • Family Medicine
                      • Geriatric Services
                      • Gynecology
                      • Heart Care
                      • Infectious Disease Care
                      • Laboratory Services
                      • Maternity Care
                      • Neurology
                      • Neonatal Intensive Care
                      • Orthopedic Services
                      • Pain Management
                      • Pharmacy
                      • Podiatry
                      • Pulmonology Care
                      • Rehabilitation & Physical Therapy
                      • Robotic Surgery
                      • Sleep Medicine
                      • Sports Medicine
                      • Stroke Care
                      • Surgical Services
                      • Urgent Care
                      • Urology
                      • Vascular Center
                      • Women's Health
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