Calhoun Liberty Hospital proudly partners with Verisma to expedite the secure fulfillment of medical records requests.

Request a copy of my medical records:

Patient Records Request

Solicitud de registros de pacientes

Our online system will allow you to request a copy of your medical records.  In order to verify your identity and validate your authorization, we require a legible copy of a valid photo ID.  (Driver’s license, military I.D. or state I.D.) which you can take with a webcam or smartphone.

If you are a legal representative of a patient (custodial parent of a minor, Medical Power of Attorney, Court-Appointed Guardian, etc.) you may be required to submit supporting documentation to complete the request.

Once your request is submitted, our staff will process your request within 24-48 hours.

Customer Service:

Email:  customerservice@verisma.com
Phone: 866-837-5550

Urgent Request – Records for your physician:

For immediate (SAME DAY) continuity of care, your healthcare provider can request records.  The physician office must fax their request on office letterhead along with an authorization to the HIM Dept. at 1-800-308-8066.

Non-Patient Requests (Insurance, Attorney, Disability and Third Party Requests):

Requests from your Insurance Company, Attorney, or Disability Determination Services can be mailed to the address below.

Mailing Address:

Calhoun-Liberty Hospital Association, Inc.
ATTN: HIM Department
20370 Burns Ave.
Blountstown, FL  32424

Hours of Operation:

Monday – Friday   8:00 am – 4:30 pm

Contact Information:

Phone: 850-674-5411 ext: 220
Fax:  800-308-8066