Contact Us - Stormont Vail Health

Please let us know if you have any suggestions for us to consider as we evaluate our programs and services, as well as information included on this site.

Phone

English: (785) 354-6000
Español: (833) 692-3054

If you are locked out of MyChart, please call the Help Desk at (866) 456-7319.

Name*

First

Last
Email*
Address

Street Address

Address Line 2

City

State

ZIP Code
Phone
Comments
CAPTCHA
Comments

This field is for validation purposes and should be left unchanged.

Need to obtain your medical records?

Please complete the form and mail or fax as directed.

Stormont Vail Medical Record Request/Authorization to Disclose/Obtain Health Information

Please send hospital request to:

Stormont Vail Health
Release of Information
1500 SW 10th Ave.
Topeka, KS 66604
Fax: (785) 354-5119

Please send clinic request to:

Cotton O’Neil
Attn: Records Release
823 SW Mulvane St., Lower Level, Suite A
Topeka, KS 66606
Fax: (785) 354-4268

Please see specific instructions on page two of the clinic records request form.

Autorización para divulgar/obtener información de salud