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Jerryson Ameworgbe Gidisu, BSc. Med. Sci,  MBBS, MD, MS, PhD , FWAMS

Welcome Message from the CEO of KQTH



Medical Records

Obtaining Medical Records

You can request your medical records through mail, by fax, or in person, after filling out the HIPAA=Compliant Authorization Form.

Disclosure of Patient Medical Information

View this page to learn more about the HIPAA federal privacy rules, record retention, copying fees, and other necessary information about obtaining your medical records.

HIPAA-Compliant Authorization Form (PDF)
Fill out this form and return it to KQTH Health Information Services to receive your medical records.