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Do you have an order from a physician and want to schedule an appointment?

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In order to assure you are getting the test your physician requires, it is important that you have the order. Please contact your physician to obtain an order so you can be scheduled properly.

 

Aultman Wait Times

Choose Immediate Care for colds/flu, sprains/strains and other minor injury/illness.


Go to the ER for major concerns and trauma. Call 911 for chest pain and stroke symptoms.

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Patient Support

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Location Finder

Here's your guide to finding any of the facilities in the Aultman family of health services, including maps and contacts. 

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Need a Doctor?

Aultman's network of providers is committed to high-quality patient care.

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Schedule an Appointment

Click below to complete an online form. 

 

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Donate Today

You can help support and enhance services, and in turn, help patients and their families who benefit from care received at Aultman.

Patient Medical Records

Aultman’s Medical Records Departments are responsible for keeping complete medical records for each patient. Your original medical record is property of Aultman, but you can access your health information on request.

Aultman Alliance Community Hospital

Copies of your medical records can be obtained for personal use or sent directly to a physician. There is a nominal charge for personal use, though medical records sent directly to a physician are free of charge.

To obtain copies of your medical records from Aultman Alliance Community Hospital, contact the Medical Records Department at Aultman Alliance Community Hospital at 330-596-7160. If you need X-ray films from Aultman Alliance Community Hospital, please call 330-596-7700.

Aultman Medical Group

For Aultman Medical Group requests, contact the individual practice. A Health Authorization Release Form for Aultman Medical Group is available at AultmanDocs.com.

Aultman Alliance Community Hospital, Aultman Hospital and Aultman Orrville Hospital

Patients and patient representatives may submit requests for medical records from Aultman Alliance Community Hospital, Aultman Hospital and Aultman Orrville Hospital through the online Access Request Form.

Click here for the online Access Request Form for medical records.

There is no fee for medical records requested by patients or patient representatives.

Additional Ways to Access Medical Records – Aultman Hospital and Aultman Orrville Hospital

Click the links below for more information on your choices for requesting your medical information from Aultman Hospital and Aultman Orrville Hospital.

Aultman OneChart Patient Portal is a personalized and confidential patient portal that allows you to access your health information – anytime, anywhere.

Processes are in place to allow you to review your medical record during your hospitalization. Your bedside nurse or nurse manager of your hospital unit can help facilitate this request.

Download, complete and return the Access Request Form by Patient/Personal Representative (PDF).

When completing the form, please remember to:

  • Complete all fields on the form(s) when requesting your medical records.
  • If mailing or faxing in the form, make sure you include a copy of your driver’s license in order for us to verify your identity.
  • Make sure the form(s) are signed and dated.

There is no fee for medical records requested by patients or patient representatives.

Click the link “How to Return the PDF Form” for options on submitting the form to Aultman Hospital or Aultman Orrville Hospital.

When a third party is requesting the patient’ s health information, the following form is required: Authorization for Release of Health Information Form (PDF).

For a third-party request, the first 10 pages of medical records are free. Additional pages are based on the State of Ohio Medical Records Fee Schedule (PDF).

Click the link “How to Return the PDF Form” for options on submitting the form to Aultman Hospital or Aultman Orrville Hospital.

Aultman Hospital patients may return the form with a written request for their records:

  • by email at releaseofinformation@aultman.com
  • by fax at 330-363-4170, Attn: MRO Release of Information
  • in person during Medical Records department office hours from 8 a.m. to 4 p.m. Monday through Friday
  • by mail to:
    Aultman Hospital
    2600 Sixth St. SW
    Canton, OH 44710
    Attn: Medical Records, Release of information

    Call Aultman Hospital at 330-363-3285 with questions.

Aultman Orrville Hospital patients may return the form with a written request for their records:

  • by email at aultmanorrvillereleaseofinformation.com
  • in person during Medical Records department office hours from 8 a.m. to 4 p.m. Monday through Friday.
  • by mail to:
    Aultman Orrville Hospital
    832 S. Main St.
    Orrville, OH 44667

    Call Aultman Orrville Hospital at 330-684-4722 with questions.
location icon

Location Finder

Here's your guide to finding any of the facilities in the Aultman family of health services, including maps and contacts. 

symptom checker icon

Need a Doctor?

Aultman's network of providers is committed to high-quality patient care.

calendar icon

Schedule an Appointment

Click below to complete an online form. 

 

donation icon

Donate Today

You can help support and enhance services, and in turn, help patients and their families who benefit from care received at Aultman.

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