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Patients & Visitors

Medical Records Request

Need a copy of your medical records? We’re here to help. Cozad Community Health System makes it easy to request your health information securely and efficiently.

Our team is committed to protecting your privacy while ensuring timely access to your records.

 

 

Authorization for Release of Information

Click the button below to download or print the Authorization for Release of Information form.

Forms to be sent to [email protected]

P.O. Box 108, Cozad, NE 69130
Phone: 308.784.2261
Fax: 308.784.4691
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