To transfer your records, complete the appropriate form below. You can do this online or by downloading and filling in the form by hand.
If you are currently a patient wishing to transfer healthcare services to CHC/SEK, it is necessary to get your approval for the transfer of your records to CHC/SEK. Parents and guardians may complete a release of medical records for patients who are under 18 years old.
Submit Forms
Downloaded forms can be returned to clinic staff, faxed to 620-231-5062, or mailed to:
CHC/SEK
P.O. Box 1832
Pittsburg, KS 66762
Our communication center is open:
7:00 am – 7:00 pm
Seven Days a Week