If our Pre-admissions testing nurse has asked for a release of medical records in order to access medical records from another healthcare facility or hospital, please click on the following link.

Medical Release 

Please print the form, complete the necessary information, and either fax or mail to the Ohio Surgery Center.

Fax:  614-451-5043

Mail:  Ohio Surgery Center
930 Bethel Road
Columbus, Ohio 43214

If your child had testing at Cincinnati Children’s Hospital we will need an Authorization for Use and/or Disclosure of Protected Health Information in order to access medical records from Cincinnati Children’s Hospital, please click on the following link.

Authorization for Use of Protected Health Information

Please print the form, complete the necessary information, and either fax or mail to the Ohio Surgery Center.

Fax:  614-451-5043

Mail:  Ohio Surgery Center
930 Bethel Road
Columbus, Ohio 43214