Medical Records

Medical Records department is responsible for accurate and timely operations and maintenance of a patient’s medical records in compliance with applicable JCAHO, State and Federal laws, regulations and requirements and in support of quality patient care.

To request a copy of your medical records, complete this form and mail or fax it to:

Cookeville Regional Medical Center
Medical Records Department
1 Medical Center Boulevard
Cookeville, TN 38501
Phone: 931-783-2625

Fax: 931-783-2627

If you are a healthcare facility and would like to request your patient's medical records complete this form and fax to the Medical Records Department at 931-783-2627.

Authorization and Request for Release of Confidential Health Information

Fax Request for Medical Records (from Health Care Facilities Only) 

Advanced Care Plan (Living Will)

Appointment of Health Care Agent