Need records?

To view/download the form to transfer records from DCHC to another facility, click HERE.
To view/download the form to transfer records from another facility to DCHC, click HERE.
To view/download the form to obtain your own records: click HERE.

Please turn the completed form in to the HIM Department at Davis County Hospital & Clinics via:

  1. Fax: 641-664-2176, or
  2. In person at DCHC HIM Department, M-F 8am – 5pm., or
  3. By email: RecordRelease@dchc.org. (*Prior to emailing the form, please ensure you have signed your name)

Questions? Please call the HIM Department at 641-664-7135.