Reqest for Medical Records
To request a copy of your medical records from Princeton Community Hospital, you will need to complete our “Access Request Form.” For a printable three-page PDF Access Request Form, please use this link.
Reqest for Amendment to Medical Records
If you believe an error was made in the documentation on your record, please complete the “Request for Amendment of Protected Health Information (PHI) Form” and return it by either faxing to 304-487-7549, e-mailing to firstname.lastname@example.org, mailing to Princeton Community Hospital, P.O. Box 1369, Princeton, WV 24740, or by coming to the Medical Records Department at PCH, Monday – Friday, 8:00 a.m. to 4:30 p.m. Please use the link below to download and print the three-page “Request for Amendment Form.” You do not need to fill out the third page. That is for PCH use only. Once we receive your completed form, your request will be reviewed by the author of your health information.