Request My Medical Records

Click on the below links to download, print, and mail/fax the completed form(s) to the HIM Department (Main Office):

Medical Records

Your medical record includes a summary and documentation of your health history, such as contact information, medications and test results, health insurance information, and allergies. At Bassett Healthcare Network, your medical records are confidential and maintained and released in accordance with applicable laws.

Locations & Hours

The below locations are our Health Information Management (HIM) offices where you can mail your documents or visit in person. Please note that all satellite offices have limited in-person service.

Main Office

HIM Department

1 Atwell Road
Cooperstown, NY 13326
Hours: Monday — Friday, 8:00am — 4:30pm
Phone: (607) 547-3770
Fax: (607) 547-6949
Email: roi@bassett.org

HIM Department Satellite Offices

All satellite offices have limited in-person services. Please call our main office at (607) 547-3770 for assistance before traveling to a satellite office.

A.O. Fox Hospital & A.O. Fox Hospital - Tri-Town Campus

Medical Records Office
(Limited in-person service)
1 Norton Avenue
Oneonta, NY 13820

Bassett Medical Center

Medical Records Office
(Limited in-person service)
1 Atwell Road
Cooperstown, NY 13326

Cobleskill Regional Hospital

Medical Records Office
(Limited in-person service)
178 Grandview Drive
Cobleskill, NY 12043

Little Falls Hospital

Medical Records Office
(Limited in-person service)
140 Burwell Street
Little Falls, NY 13365

O'Connor Hospital

Medical Records Office
(Limited in-person service)
460 Andes Road
Delhi, NY 13753

Frequently Asked Questions

Electronically

MyBassett offers patients personalized and secure online access to portions of their medical records. It enables you to securely manage and receive information about your health.

With MyBassett, you can:

• Request medical appointments.
• View your health summary from the MyBassett electronic health record.
• View test results.
• Request prescription renewals.
• Access trusted health information resources.
• Communicate electronically and securely with your medical care team.

Download & Print Forms

You may return these forms by mail, fax, or email to the HIM Department (Main Office).

• Authorization for Medical Records Release Form
• Request to Amend Protected Health Information

State law allows us 10 business days to process your request for records. We make every effort to get them to you sooner.

• Electronic Requests: You will not be charged for requests submitted through MyBassett.
• Paper Requests: You may be charged a reasonable cost for records that are sent on paper or CD.

Your MyBassett information comes directly from your electronic medical record at your provider's office. Ask your provider to correct any inaccurate information at your next clinic visit. Your health information is reviewed and updated in your electronic medical record after each visit.

If you believe you have found incorrect information on an inpatient stay, please complete the Patient Request to Amend Protected Health Information form and return it to the HIM Department (Main Office) in person, by fax, or e-mail.

In general, Bassett Healthcare Network must obtain your authorization to use or disclose protected health information (PHI) unless the Privacy Rule permits or requires use/disclosure. For example, the Privacy Rule explicitly authorizes Bassett Healthcare Network to use and disclose PHI for medical treatment, payment, and health care operations without authorization.

There are three specific situations that require Bassett Healthcare Network to obtain written authorization from a patient (unless classified as an exception or permitted for use/disclosure):

• The use and disclosure of psychotherapy notes.
• The use of disclosure of PHI for marketing.
• Any disclosure of PHI which is a sale.