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Your Medical Records at St. Dominic’s

To receive a copy of your medical records, please click here to print and complete the Consent for Release of Information form. Send the completed form and a copy of your current driver’s license via email to, fax to (678) 459-3498 or mail to:

St. Dominic's Hospital
ATTN: Health Information Management
969 Lakeland Drive
Jackson, MS 39216

The copy of your records will be mailed or e-mailed through CIOX Health’s secure portal. If you need to speak directly to a CIOX Health employee regarding a request for medical records, please call (601) 200-6830.

Electronic Request for Records

St. Dominic's Hospital now offers an online records request tool that allows you to securely access your health records. We are dedicated to ensuring the privacy of protected health information, and only allow the following individuals to request patient records:

  • Patients requesting their own records
  • Parents of minor patients requesting records
  • Caregivers acting on behalf of a patient (Ex: Power of Attorney)

Our online tool verifies the requester’s identity by requiring a photo of their driver’s license, which can be taken on a webcam or smartphone. There is no additional charge to use this service. We recommend using Chrome, Safari or Firefox for the best user experience when requesting records through our tool. If you are a current patient using MyChart, you can also request records through your MyChart account. Click here to access your account.