Medical Records

The Medical Records Team at MVHC provides patients, patient families, and healthcare professionals with medical records upon request.

How to Request Medical Records


For your convenience, you can fill out the Authorization to Release Medical Records from electronically by clicking the button below.

You can download a printable version of the form here. This version may be submitted one of the following ways below. 


Mail your completed Medical Record Request Form to:

MVHC Medical Records

2725 Pinkerton Lane

Zanesville, OH 43701

In Person:

If you would like to submit your form in person or if you would like assistance filling out your form, you can visit MVHC South Zanesville and ask to see one of the Medical Records Team Members. MVHC South Zanesville is located at 2725 Pinkerton Lane, Zanesville, Ohio. 


Your completed Medical Record Request Form can be faxed to 740-891-9002.


Your completed Medical Record Request Form can be emailed to


We're here to help! You can call 740-962-1668 or email with any questions.