Patient Resources
Protecting our patients comes first. All patients at Jordan Valley have privacy and information rights. We are dedicated to making sure you understand your rights and responsibilities regarding our services and provider-patient relationships.
Patient Medical Records
Requesting Medical Records
Visit a Jordan Valley Clinic
If you'd rather stop by a Jordan Valley Community Health Center Clinic location to receive your records, you can do that, too.
Simply visit the closest Jordan Valley clinic to you and request a "Release of Information Form." You can also print the form below and deliver it completed to the clinic location nearest you.
From here, simply select the delivery option of your choice, and you will receive your records in 15 business days.
submit a digital request
Click the button below and enter your email when prompted. You will get a secure link in your inbox to complete the login process.
Click "Submit a New Records or Forms Request" and fill out all required information. The clinic information can be found on our Locations Page and your Clinic Contact is your provider.
Once you have completed your request, you will receive an email with instructions for downloading your records from HealthMark.
Requesting Dental Records
submit a digital request
Click the button below and provide all information required on the form. Once you're done, click "Submit." A copy of your records will then be sent to you.
Patient Rights & Responsibilities
As a patient, you have rights concerning your care and treatment choices. Getting services at Jordan Valley also means our providers trust you to provide accurate information, keep appointments, ask questions and respect the rights of other patients and staff. Before you make an appointment, be aware of your rights and responsibilities.
Share Your Experiences
Our services depend on your feedback. Suggestions from our patients help us improve and meet the needs of our community. We encourage patients to voice their experiences, concerns and suggestions.
Privacy Practices
A Notice of Privacy Practices is provided to each patient at their first appointment. Patients are asked to sign an Acknowledgment of Receipt of Notice of Privacy Practices at that time. If a patient chooses not to acknowledge the Notice of Privacy Practices, we will not condition treatment on the patient’s acknowledgement.
The Notice of Privacy Practices is always posted in publicly accessible areas of Jordan Valley’s clinics to assure all individuals are provided the ability to review.
The protection of your privacy and security of your patient health information is a top priority for Jordan Valley Community Health Center. In accordance with federal laws, there are policies and security safeguards in place to protect your health information—whether it is stored on paper or electronically.
Your Privacy Rights
If you believe your health information privacy has been violated, please contact our compliance department by email [email protected] or phone at 417-851-1556 to request a review of your concerns.
