Patient Medical Record Request Process

To request medical records you may visit the Health Information Management (HIM) Department located on the Mezzanine floor within Lafayette General Medical Center.  A Release of Information Clerk will be available to process your request between the hours of 8:00 am and 4:00 pm, Monday through Friday.  Feel free to call a Release of Information Clerk at (337) 289-7142 for questions. 

We are extremely committed to privacy, therefore, you must come to HIM in person in order for you to sign an authorization and present proper identification.  We can not release medical record information over the phone.

You may download the authorization form, below, and bring it with you already complete.

  Medical Records Request Form

The Health Information Management Department within LGMC handles medical record requests for Lafayette General Surgical Hospital and Lafayette General Imaging.

If your request requires Radiology film please contact LGMC's Radiology Department at (337) 289-7970.

Health Information Management
1214 Coolidge Street
P.O. Box 52009
Lafayette, LA  70505